CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Fairview Bethesda Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$405
about 0.4× the $927 Medicare rate · typically $174–$1,019
modeled estimate · not a bill or quote
What this hospital charges insurers
$435
About the fair price
about $30 over the fair price · 0.5× Medicare
Medicare pays $927 Fair price $405 This hospital $435 Cash price $835 Hospital's list price $2,083

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 $435

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 $405 (about 0.4× the $927 Medicare rate). Fairview Bethesda Hospital charges insurers about $435, or about $835 in cash — about the fair price. Located in Saint Paul, MN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $125 - $1,219 13%
Blue Cross Blue Shieldmajor $106 - $1,258 11%
HealthPartners $92 - $1,662 10%
Medica $99 - $1,543 11%
Sanford Health Plan $125 - $1,257 13%
Security Health Plan $125 - $1,600 13%
UCare $94 - $2,145 10%
WellCare $125 - $933 13%
+ 5 smaller / regional plans $92 - $1,921
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 45 10Th St W, Saint Paul, MN 55102
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL