CMS Price Transparency Data
Upper endoscopy with biopsy
Facility: CHI St Alexius Health
Billing Code: 43239 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$1,211
about 1.3× the $927 Medicare rate · typically $968–$1,311
modeled estimate · not a bill or quote
Medicare pays $927 Fair price $1,211 Cash price $318 Hospital's list price $623
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 | $411 - $938 | 44% |
| Blue Cross Blue Shieldmajor | $956 | 103% |
| Humanamajor | $938 | 101% |
| HealthPartners | $467 | 50% |
| Medica | $461 - $938 | 50% |
| Sanford Health Plan | $1,622 | 175% |
| + 1 smaller / regional plan | $984 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at CHI St Alexius Health
Compare: Upper endoscopy with biopsy at other ND hospitals
- PAM Rehabilitation Hospital of Fargo · Fargo $280
- Southwest Healthcare Services · Bowman $363
- CHI St Alexius Health Dickinson · Dickinson $832
- CHI St Alexius Health Williston · Williston $863
- Trinity Hospitals · Minot $927
- Essentia Health · Fargo $938
- Sanford Medical Center Fargo · Fargo $950
- Sanford Medical Center Bismarck · Bismarck $966
Insurance negotiated median for the same procedure, sorted lowest first.