CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Ochsner St Anne General Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$790
about 0.9× the $927 Medicare rate · typically $360–$1,300
modeled estimate · not a bill or quote
What this hospital charges insurers
$708
Below the fair price — a good deal
about $82 under the fair price · 0.8× Medicare
Medicare pays $927 Fair price $790 This hospital $708 Cash price $1,005 Hospital's list price $2,285

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 $708

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 $790 (about 0.9× the $927 Medicare rate). Ochsner St Anne General Hospital charges insurers about $708, or about $1,005 in cash — below the fair price — a good deal. Located in Raceland, 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 $468 - $4,516 51%
Blue Cross Blue Shieldmajor $708 - $2,923 76%
Aetnamajor $482 - $3,593 52%
Cignamajor $2,187 236%
Humanamajor $468 - $708 51%
AmeriHealth $482 52%
Health Net $1,942 210%
+ 7 smaller / regional plans $478 - $1,714
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 4608 Highway 1, Raceland, LA 70394
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals