CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: SSM Health Depaul Hospital St Louis

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,083
about 1.2× the $927 Medicare rate · typically $813–$2,124
modeled estimate · not a bill or quote
What this hospital charges insurers
$810
Below the fair price — a good deal
about $273 under the fair price · 0.9× Medicare
Medicare pays $927 Fair price $1,083 This hospital $810 Cash price $932 Hospital's list price $1,695

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

Highest price of the 9 MO hospitals we have prices for — worth calling around.

Cheapest $118 Priciest $810

Black dot = this hospital, among the 9 MO hospitals with a price for this procedure. Full list below.

A fair price for a Upper endoscopy with biopsy is about $1,083 (about 1.2× the $927 Medicare rate). SSM Health Depaul Hospital St Louis charges insurers about $810, or about $932 in cash — below the fair price — a good deal. Located in Bridgeton, MO.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $922 - $2,783 100%
Blue Cross Blue Shieldmajor $159 - $922 17%
Aetnamajor $908 - $3,213 98%
Cignamajor $2,680 289%
Humanamajor $924 100%
Ambetter (Centene) $1,568 169%
HealthLink $1,628 - $2,709 176%
Oscar Health $1,090 - $1,992 118%

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Facility Profile & Credentials

  • Address: 12303 Depaul Drive, Bridgeton, MO 63044
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals