CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Avoyelles Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$845
about 0.9× the $927 Medicare rate · typically $326–$1,255
modeled estimate · not a bill or quote
What this hospital charges insurers
$468
Below the fair price — a good deal
about $377 under the fair price · 0.5× Medicare
Medicare pays $927 Fair price $845 This hospital $468 Cash price $662 Hospital's list price $2,208

How we calculate the fair BaseRate →

How this hospital compares to other LA hospitals

A typical price — 3 charge more and 4 charge less, among the 9 LA hospitals compared.

Cheapest $144 Priciest $515

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 $845 (about 0.9× the $927 Medicare rate). Avoyelles Hospital charges insurers about $468, or about $662 in cash — below the fair price — a good deal. Located in Marksville, LA.

What each insurance company pays

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

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $468 51%
Blue Cross Blue Shieldmajor $1,231 133%
Aetnamajor $211 - $1,520 23%
Cignamajor $468 51%
AmeriHealth $468 51%
+ 8 smaller / regional plans $211 - $1,520
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 4231 Highway 1192, Marksville, LA 71351
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals