CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Lallie Kemp Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$472
about 0.5× the $927 Medicare rate · typically $161–$1,065
modeled estimate · not a bill or quote
What this hospital charges insurers
$499
About the fair price
about $27 over the fair price · 0.5× Medicare
Medicare pays $927 Fair price $472 This hospital $499 Cash price $361 Hospital's list price $602

How we calculate the fair BaseRate →

How this hospital compares to other LA hospitals

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

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 $472 (about 0.5× the $927 Medicare rate). Lallie Kemp Medical Center charges insurers about $499, or about $361 in cash — about the fair price. Located in Independence, LA.

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 $515 56%
Aetnamajor $483 52%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 52579 Highway 51 South, Independence, LA 70443
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - State
  • Hospital Type: Critical Access Hospitals