CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Altru Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,061
about 1.1× the $927 Medicare rate · typically $657–$1,270
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,216
About the fair price
about $155 over the fair price · 1.3× Medicare
Medicare pays $927 Fair price $1,061 This hospital $1,216 Cash price $939 Hospital's list price $1,540

How we calculate the fair BaseRate →

How this hospital compares to other ND hospitals

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

Cheapest $280 Priciest $1,216

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 $1,061 (about 1.1× the $927 Medicare rate). Altru Hospital charges insurers about $1,216, or about $939 in cash — about the fair price. Located in Grand Forks, ND.

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✓ Aetna CignaHumanaKaiser 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 $1,633 - $1,814 176%
Blue Cross Blue Shieldmajor $351 - $1,699 38%
Aetnamajor $927 - $2,500 100%
Medica $80 - $2,382 9%
Sanford Health Plan $1,082 - $1,453 117%
+ 1 smaller / regional plan $1,853

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1200 S Columbia Rd, Grand Forks, ND 58201
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals