CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Memorial Health

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,242
about 1.3× the $927 Medicare rate · typically $854–$1,890
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,202
About the fair price
about $40 under the fair price · 1.3× Medicare
Medicare pays $927 Fair price $1,242 This hospital $1,202

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 $1,202

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 $1,242 (about 1.3× the $927 Medicare rate). Memorial Health charges insurers about $1,202 — about the fair price. Located in Lawton, 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✓ Humana UnitedHealthcareCignaKaiser 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 $1,765 - $2,445 190%
Aetnamajor $452 49%
Humanamajor $452 - $936 49%
+ 1 smaller / regional plan $1,468

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Facility Profile & Credentials

  • Address: 3401 West Gore Blvd, Lawton, OK 73505
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals