CMS Price Transparency Data
Upper endoscopy with biopsy
Facility: Community Hospital, Onaga and St Marys Campus
Billing Code: 43239 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$599
about 0.6× the $927 Medicare rate · typically $170–$1,217
modeled estimate · not a bill or quote
Medicare pays $927 Fair price $599 Cash price $612 Hospital's list price $765
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $1,153 | 124% |
| Aetnamajor | $628 - $936 | 68% |
| + 1 smaller / regional plan | $593 - $884 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Community Hospital, Onaga and St Marys Campus
Compare: Upper endoscopy with biopsy at other KS hospitals
- Logan County Hospital · Oakley $117
- St. Catherine Hospital - Garden City · Garden City $122
- Centura St. Catherine-Dodge City · Dodge City $124
- Memorial Hospital · Abilene $127
- Cloud County Health Center · Concordia $156
- Amberwell Atchison Association · Atchison $180
- Hiawatha Community Hospital · Hiawatha $185
- William Newton Hospital · Winfield $209
Insurance negotiated median for the same procedure, sorted lowest first.