CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Wamego Health Center

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$499
about 0.5× the $927 Medicare rate · typically $162–$1,025
modeled estimate · not a bill or quote
What this hospital charges insurers
$478
About the fair price
about $21 under the fair price · 0.5× Medicare
Medicare pays $927 Fair price $499 This hospital $478

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 $478

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 $499 (about 0.5× the $927 Medicare rate). Wamego Health Center charges insurers about $478 — about the fair price. Located in Wamego, 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 $225 24%
Blue Cross Blue Shieldmajor $1,515 - $1,595 163%
Aetnamajor $234 25%
+ 1 smaller / regional plan $478
Government programs also on file: Medicaid, Military & VA.

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Facility Profile & Credentials

  • Address: 711 Genn Drive, Wamego, KS 66547
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals