CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Acadia General Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$878
about 0.9× the $927 Medicare rate · typically $485–$1,078
modeled estimate · not a bill or quote
What this hospital charges insurers
$852
About the fair price
about $26 under the fair price · 0.9× Medicare
Medicare pays $927 Fair price $878 This hospital $852 Cash price $279 Hospital's list price $1,212

How we calculate the fair BaseRate →

How this hospital compares to other LA hospitals

Highest price of the 9 LA hospitals we have prices for — worth calling around.

Cheapest $144 Priciest $852

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

A fair price for a Upper endoscopy with biopsy is about $878 (about 0.9× the $927 Medicare rate). Acadia General Hospital charges insurers about $852, or about $279 in cash — about the fair price. Located in Crowley, LA.

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 $481 - $1,953 52%
Blue Cross Blue Shieldmajor $852 - $1,040 92%
Aetnamajor $481 - $852 52%
Cignamajor $1,279 138%
Humanamajor $481 - $852 52%
AmeriHealth $481 52%
WellCare $895 97%
+ 6 smaller / regional plans $424 - $878
Government programs also on file: Medicare, Military & VA.
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: 1305 Crowley Rayne Highway, Crowley, LA 70526
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals