CMS Price Transparency Data
Upper endoscopy with biopsy
Facility: Lifecare Medical Center
Billing Code: 43239 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$707
about 0.8× the $927 Medicare rate · typically $170–$1,437
modeled estimate · not a bill or quote
Medicare pays $927 Fair price $707 Cash price $358 Hospital's list price $407
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
1 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $152 - $5,267 | 16% |
| HealthPartners | $407 | 44% |
| Sanford Health Plan | $387 | 42% |
| UCare | $152 - $448 | 16% |
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Other Procedures at Lifecare Medical 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.