CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: William Newton Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$413
about 0.4× the $927 Medicare rate · typically $151–$1,850
modeled estimate · not a bill or quote
What this hospital charges insurers
$209
Below the fair price — a good deal
about $204 under the fair price · 0.2× Medicare
Medicare pays $927 Fair price $413 This hospital $209 Cash price $1,291 Hospital's list price $1,291

How we calculate the fair BaseRate →

How this hospital compares to other KS hospitals

On the higher side — 7 of 8 other KS hospitals charge less.

Cheapest $117 Priciest $216

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Upper endoscopy with biopsy is about $413 (about 0.4× the $927 Medicare rate). William Newton Hospital charges insurers about $209, or about $1,291 in cash — below the fair price — a good deal. Located in Winfield, 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✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $116 - $1,694 13%
Blue Cross Blue Shieldmajor $116 - $1,113 13%
Ambetter (Centene) $133 - $1,883 14%
+ 2 smaller / regional plans $1,152 - $1,318
Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 1300 East Fifth Avenue, Winfield, KS 67156
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals