CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: St Francis Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$865
about 0.9× the $927 Medicare rate · typically $346–$1,749
modeled estimate · not a bill or quote
What this hospital charges insurers
$769
Below the fair price — a good deal
about $96 under the fair price · 0.8× Medicare
Medicare pays $927 Fair price $865 This hospital $769 Cash price $632 Hospital's list price $1,053

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 $769

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 $865 (about 0.9× the $927 Medicare rate). St Francis Medical Center charges insurers about $769, or about $632 in cash — below the fair price — a good deal. Located in Breckenridge, MN.

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 - $874 83%
Blue Cross Blue Shieldmajor $242 - $2,311 26%
Humanamajor $442 48%
HealthPartners $442 - $1,000 48%
Medica $442 - $969 48%
Sanford Health Plan $927 100%
UCare $442 - $927 48%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 2400 St Francis Drive, Breckenridge, MN 56520
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals