CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: CHI Health St. Francis

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,262
about 1.4× the $927 Medicare rate · typically $740–$1,816
modeled estimate · not a bill or quote
What this hospital charges insurers
$775
Below the fair price — a good deal
about $487 under the fair price · 0.8× Medicare
Medicare pays $927 Fair price $1,262 This hospital $775 Cash price $484 Hospital's list price $820

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

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

Cheapest $122 Priciest $775

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

A fair price for a Upper endoscopy with biopsy is about $1,262 (about 1.4× the $927 Medicare rate). CHI Health St. Francis charges insurers about $775, or about $484 in cash — below the fair price — a good deal. Located in Grand Island, NE.

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 $189 - $899 20%
Blue Cross Blue Shieldmajor $899 97%
Humanamajor $899 97%
Ambetter (Centene) $190 - $926 21%
Amerigroup $764 - $944 82%
Medica $260 - $2,892 28%
Molina $779 84%
+ 8 smaller / regional plans $451 - $7,273
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2620 West Faidley Ave, Grand Island, NE 68803
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals