CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Citizens Memorial Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$978
about 1.1× the $927 Medicare rate · typically $733–$1,126
modeled estimate · not a bill or quote
What this hospital charges insurers
$968
About the fair price
about $10 under the fair price · 1.0× Medicare
Medicare pays $927 Fair price $978 This hospital $968 Cash price $1,641 Hospital's list price $2,051

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 $968

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 $978 (about 1.1× the $927 Medicare rate). Citizens Memorial Hospital charges insurers about $968, or about $1,641 in cash — about the fair price. Located in Bolivar, MO.

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✓ Humana CignaKaiser 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 $968 104%
Blue Cross Blue Shieldmajor $978 - $5,182 106%
Aetnamajor $968 104%
Humanamajor $968 104%
Ambetter (Centene) $1,322 143%
Health Net $968 104%
WellCare $997 108%
+ 3 smaller / regional plans $968 - $1,017

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Facility Profile & Credentials

  • Address: 1500 N Oakland, Bolivar, MO 65613
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals