CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Northern Louisiana Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$988
about 1.1× the $927 Medicare rate · typically $383–$1,367
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,000
About the fair price
about $12 over the fair price · 1.1× Medicare
Medicare pays $927 Fair price $988 This hospital $1,000 Cash price $1,113 Hospital's list price $2,023

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 $1,000

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 $988 (about 1.1× the $927 Medicare rate). Northern Louisiana Medical Center charges insurers about $1,000, or about $1,113 in cash — about the fair price. Located in Ruston, LA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 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 $553 - $2,648 60%
Blue Cross Blue Shieldmajor $553 - $1,582 60%
Aetnamajor $553 - $1,520 60%
Cignamajor $1,000 108%
Humanamajor $515 - $751 56%
Kaiser Permanentemajor $1,000 108%
+ 1 smaller / regional plan $2,648
Government programs also on file: Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 401 East Vaughn Avenue, Ruston, LA 71270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals