CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: McAlester Regional Health Center

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,433
about 1.5× the $927 Medicare rate · typically $769–$1,838
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,554
About the fair price
about $121 over the fair price · 1.7× Medicare
Medicare pays $927 Fair price $1,433 This hospital $1,554 Cash price $890 Hospital's list price $2,226

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

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

Cheapest $155 Priciest $1,554

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

A fair price for a Upper endoscopy with biopsy is about $1,433 (about 1.5× the $927 Medicare rate). McAlester Regional Health Center charges insurers about $1,554, or about $890 in cash — about the fair price. Located in McAlester, OK.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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
Blue Cross Blue Shieldmajor $955 - $2,260 103%
Aetnamajor $955 - $1,981 103%
Cignamajor $2,070 223%
GEHA $2,092 226%
Health Net $1,892 204%
+ 4 smaller / regional plans $955 - $1,959
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: One Clark Bass Boulevard, McAlester, OK 74501
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals