CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: CHI Health Nebraska Heart

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$950
about 1.0× the $927 Medicare rate · typically $674–$1,808
modeled estimate · not a bill or quote
What this hospital charges insurers
$905
About the fair price
about $45 under the fair price · 1.0× Medicare
Medicare pays $927 Fair price $950 This hospital $905

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 $905

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 $950 (about 1.0× the $927 Medicare rate). CHI Health Nebraska Heart charges insurers about $905 — about the fair price. Located in Lincoln, 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 $905 - $7,772 98%
Blue Cross Blue Shieldmajor $905 98%
Humanamajor $905 98%
Ambetter (Centene) $764 - $932 82%
Amerigroup $764 - $950 82%
Medica $260 - $2,892 28%
Molina $779 84%
+ 3 smaller / regional plans $905 - $2,009

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Facility Profile & Credentials

  • Address: 7500 South 91St St, Lincoln, NE 68526
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals