CMS Price Transparency Data
Upper endoscopy with biopsy
Facility: Lakewood Health Center
Billing Code: 43239 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$280
about 0.3× the $927 Medicare rate · typically $132–$1,012
modeled estimate · not a bill or quote
Medicare pays $927 Fair price $280 Cash price $1,131 Hospital's list price $1,713
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✓ Humana AetnaCignaKaiser 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 | $769 - $1,970 | 83% |
| Blue Cross Blue Shieldmajor | $400 - $2,311 | 43% |
| Humanamajor | $706 - $1,590 | 76% |
| HealthPartners | $579 - $2,326 | 62% |
| Medica | $579 - $2,278 | 62% |
| Sanford Health Plan | $1,000 - $2,254 | 108% |
| UCare | $637 - $2,088 | 69% |
| + 1 smaller / regional plan | $579 - $1,305 |
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Other Procedures at Lakewood Health Center
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.