CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: McPherson Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$726
about 0.8× the $927 Medicare rate · typically $365–$1,229
modeled estimate · not a bill or quote
What this hospital charges insurers
$834
About the fair price
about $108 over the fair price · 0.9× Medicare
Medicare pays $927 Fair price $726 This hospital $834 Cash price $664 Hospital's list price $897

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 $834

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 $726 (about 0.8× the $927 Medicare rate). McPherson Hospital charges insurers about $834, or about $664 in cash — about the fair price. Located in McPherson, KS.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $700 - $897 76%
Blue Cross Blue Shieldmajor $834 90%
Aetnamajor $740 - $897 80%
Cignamajor $852 92%
Humanamajor $834 90%
Ambetter (Centene) $959 103%
HealthPartners $852 92%
WellCare $834 90%
+ 6 smaller / regional plans $628 - $915
Government programs also on file: Medicaid, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1000 Hospital Drive, McPherson, KS 67460
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals