CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Sanford Bemidji Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$947
about 1.0× the $927 Medicare rate · typically $641–$1,041
modeled estimate · not a bill or quote
What this hospital charges insurers
$948
About the fair price
about $1 over the fair price · 1.0× Medicare
Medicare pays $927 Fair price $947 This hospital $948 Cash price $2,652 Hospital's list price $3,315

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

Highest price of the 9 MN hospitals we have prices for — worth calling around.

Cheapest $118 Priciest $948

Black dot = this hospital, among the 9 MN hospitals with a price for this procedure. Full list below.

A fair price for a Upper endoscopy with biopsy is about $947 (about 1.0× the $927 Medicare rate). Sanford Bemidji Medical Center charges insurers about $948, or about $2,652 in cash — about the fair price. Located in Bemidji, MN.

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 $948 - $2,768 102%
Blue Cross Blue Shieldmajor $654 - $3,205 71%
Aetnamajor $948 - $2,718 102%
Cignamajor $2,984 322%
Health Net $2,984 322%
HealthPartners $948 - $2,320 102%
Medica $2,785 - $2,980 301%
Sanford Health Plan $874 - $2,026 94%
Security Health Plan $1,823 197%
UCare $939 - $2,330 101%
+ 2 smaller / regional plans $966 - $2,984
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1300 Anne St Nw, Bemidji, MN 56601
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals