CMS Price Transparency Data
Upper endoscopy with biopsy
Facility: Northfield Hospital
Billing Code: 43239 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$1,230
about 1.3× the $927 Medicare rate · typically $554–$1,859
modeled estimate · not a bill or quote
Medicare pays $927 Fair price $1,230 Cash price $727 Hospital's list price $1,738
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna AetnaHumanaKaiser 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 | $495 - $2,980 | 53% |
| Blue Cross Blue Shieldmajor | $446 - $2,682 | 48% |
| Cignamajor | $334 - $2,009 | 36% |
| HealthPartners | $334 - $2,009 | 36% |
| Medica | $2,980 | 322% |
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Other Procedures at Northfield Hospital
Compare: Upper endoscopy with biopsy at other MN hospitals
- Ely - Bloomenson Community Hospital · Ely $118
- Chippewa County Hospital · Montevideo $118
- Windom Area Health · Windom $127
- Perham Health · Perham $136
- North Memorial Health Hospital · Robbinsdale $153
- Stevens Community Medical Center Inc · Morris $160
- Lakewood Health System · Staples $189
- St Lukes Hospital · Duluth $226
Insurance negotiated median for the same procedure, sorted lowest first.