CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Hays Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,122
about 1.2× the $927 Medicare rate · typically $782–$1,185
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,172
About the fair price
about $50 over the fair price · 1.3× Medicare
Medicare pays $927 Fair price $1,122 This hospital $1,172 Cash price $2,263 Hospital's list price $3,788

How we calculate the fair BaseRate →

How this hospital compares to other KS hospitals

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

Cheapest $117 Priciest $1,172

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

A fair price for a Upper endoscopy with biopsy is about $1,122 (about 1.2× the $927 Medicare rate). Hays Medical Center charges insurers about $1,172, or about $2,263 in cash — about the fair price. Located in Hays, KS.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $969 - $1,695 105%
Blue Cross Blue Shieldmajor $969 - $1,172 105%
Aetnamajor $969 - $2,131 105%
Ambetter (Centene) $969 - $1,453 105%
Medica $969 105%
+ 6 smaller / regional plans $969 - $2,484
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 2220 Canterbury Drive, Hays, KS 67601
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals