CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Sanford Medical Center Bismarck

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$967
about 1.0× the $927 Medicare rate · typically $865–$1,065
modeled estimate · not a bill or quote
What this hospital charges insurers
$966
About the fair price
about $1 under the fair price · 1.0× Medicare
Medicare pays $927 Fair price $967 This hospital $966 Cash price $2,574 Hospital's list price $3,217

How we calculate the fair BaseRate →

How this hospital compares to other ND hospitals

On the higher side — 7 of 8 other ND hospitals charge less.

Cheapest $280 Priciest $1,203

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

A fair price for a Upper endoscopy with biopsy is about $967 (about 1.0× the $927 Medicare rate). Sanford Medical Center Bismarck charges insurers about $966, or about $2,574 in cash — about the fair price. Located in Bismarck, ND.

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 $948 - $2,802 102%
Blue Cross Blue Shieldmajor $402 - $3,205 43%
Aetnamajor $948 - $2,800 102%
Cignamajor $2,152 - $2,984 232%
Health Net $1,980 - $2,984 214%
HealthPartners $948 - $2,609 102%
Medica $1,448 - $3,047 156%
Sanford Health Plan $136 - $2,996 15%
Security Health Plan $1,210 - $1,823 131%
UCare $939 - $2,831 101%
+ 2 smaller / regional plans $950 - $2,984
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: 300 N 7Th St, Bismarck, ND 58506
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals