CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Ascension St Vincent Evansville

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$292
about 0.3× the $927 Medicare rate · typically $209–$841
modeled estimate · not a bill or quote
What this hospital charges insurers
$274
About the fair price
about $18 under the fair price · 0.3× Medicare
Medicare pays $927 Fair price $292 This hospital $274

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

Highest price of the 9 IN hospitals we have prices for — worth calling around.

Cheapest $116 Priciest $274

Black dot = this hospital, among the 9 IN hospitals with a price for this procedure. Full list below.

A fair price for a Upper endoscopy with biopsy is about $292 (about 0.3× the $927 Medicare rate). Ascension St Vincent Evansville charges insurers about $274 — about the fair price. Located in Evansville, IN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $287 - $460 31%
Blue Cross Blue Shieldmajor $270 - $460 29%
Aetnamajor $460 50%
Humanamajor $460 50%
Ambetter (Centene) $460 50%
CareSource $460 50%
+ 9 smaller / regional plans $270 - $460
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 3700 Washington Ave, Evansville, IN 47750
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals