CMS Price Transparency Data
Upper endoscopy with biopsy
Facility: Thayer County Health Services
Billing Code: 43239 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$766
about 0.8× the $927 Medicare rate · typically $177–$2,123
modeled estimate · not a bill or quote
Medicare pays $927 Fair price $766 Cash price $642 Hospital's list price $803
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 | $554 | 60% |
| Blue Cross Blue Shieldmajor | $763 - $803 | 82% |
| Medica | $7,200 | 777% |
| Molina | $554 | 60% |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Thayer County Health Services
Compare: Upper endoscopy with biopsy at other NE hospitals
- Fillmore County Hospital · Geneva $122
- Memorial Health Care Systems · Seward $124
- Howard County Medical Center · St Paul $128
- Valley County Health System · Ord $130
- Memorial Community Hospital & Health System · Blair $137
- St Francis Memorial Hospital · West Point $145
- Mary Lanning Healthcare · Hastings $184
- Phelps Memorial Health Center · Holdrege $207
Insurance negotiated median for the same procedure, sorted lowest first.