CMS Price Transparency Data
Upper endoscopy with biopsy
Facility: Arbuckle Memorial Hospital
Billing Code: 43239 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$726
about 0.8× the $927 Medicare rate · typically $180–$2,348
modeled estimate · not a bill or quote
Medicare pays $927 Fair price $726 Cash price $573 Hospital's list price $716
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 | $1,440 | 155% |
| Aetnamajor | $537 | 58% |
| Health Net | $644 | 69% |
| Medica | $390 | 42% |
| + 1 smaller / regional plan | $716 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Arbuckle Memorial Hospital
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.