CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Clay County Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$717
about 0.8× the $927 Medicare rate · typically $155–$1,518
modeled estimate · not a bill or quote
What this hospital charges insurers
$376
Below the fair price — a good deal
about $341 under the fair price · 0.4× Medicare
Medicare pays $927 Fair price $717 This hospital $376 Cash price $692 Hospital's list price $692

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 $376

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 $717 (about 0.8× the $927 Medicare rate). Clay County Medical Center charges insurers about $376, or about $692 in cash — below the fair price — a good deal. Located in Clay Center, KS.

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

✓ UnitedHealthcare✓ Aetna Blue Cross Blue ShieldCignaHumanaKaiser 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 $376 - $657 41%
Aetnamajor $644 69%
HealthPartners $535 - $657 58%
+ 1 smaller / regional plan $644
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 617 Liberty, Clay Center, KS 67432
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals