CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Sanford Behavioral Health Center

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,161
about 1.3× the $927 Medicare rate · typically $321–$1,539
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,060
About the fair price
about $101 under the fair price · 1.1× Medicare
Medicare pays $927 Fair price $1,161 This hospital $1,060 Cash price $2,577 Hospital's list price $3,221

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 $1,060

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 $1,161 (about 1.3× the $927 Medicare rate). Sanford Behavioral Health Center charges insurers about $1,060, or about $2,577 in cash — about the fair price. Located in Thief River Falls, 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 $1,327 - $2,690 143%
Blue Cross Blue Shieldmajor $1,135 - $2,270 122%
Aetnamajor $1,327 - $2,799 143%
Cignamajor $2,899 313%
Health Net $2,899 313%
HealthPartners $1,327 - $2,609 143%
Medica $2,831 - $3,047 306%
Sanford Health Plan $1,224 - $2,030 132%
Security Health Plan $1,772 191%
UCare $984 - $2,830 106%
+ 2 smaller / regional plans $984 - $2,899
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: 120 Labree Avenue South, Thief River Falls, MN 56701
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Psychiatric