CMS Price Transparency Data
Upper endoscopy with biopsy
Facility: Saint Francis Hospital Vinita, Inc
Billing Code: 43239 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$1,319
about 1.4× the $927 Medicare rate · typically $609–$2,312
modeled estimate · not a bill or quote
Medicare pays $927 Fair price $1,319 Cash price $320 Hospital's list price $801
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
✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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 | $898 | 97% |
| Aetnamajor | $872 | 94% |
| + 2 smaller / regional plans | $1,781 - $2,094 |
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Other Procedures at Saint Francis Hospital Vinita, Inc
Compare: Upper endoscopy with biopsy at other OK hospitals
- Okeene Municipal Hospital · Okeene $155
- Weatherford Regional Hospital, Inc of Weatherford · Weatherford $156
- Choctaw Memorial Hospital · Hugo $175
- Ascension St John Broken Arrow · Broken Arrow $180
- Ascension St John Sapulpa · Sapulpa $302
- Ascension St John Nowata · Nowata $371
- McCurtain Memorial Hospital · Idabel $422
- Haskell Regional Hospital, Inc · Stigler $835
Insurance negotiated median for the same procedure, sorted lowest first.