CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Samaritan Albany General Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$369
about 0.4× the $927 Medicare rate · typically $283–$968
modeled estimate · not a bill or quote
What this hospital charges insurers
$349
About the fair price
about $20 under the fair price · 0.4× Medicare
Medicare pays $927 Fair price $369 This hospital $349 Cash price $718 Hospital's list price $898

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

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

Cheapest $126 Priciest $349

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

A fair price for a Upper endoscopy with biopsy is about $369 (about 0.4× the $927 Medicare rate). Samaritan Albany General Hospital charges insurers about $349, or about $718 in cash — about the fair price. Located in Albany, OR.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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 $147 - $3,274 16%
Aetnamajor $226 - $846 24%
Cignamajor $130 - $826 14%
Humanamajor $130 - $848 14%
Devoted Health $130 - $402 14%
Health Net $130 - $844 14%
Moda Health $139 - $1,156 15%
PacificSource $115 - $851 12%
+ 4 smaller / regional plans $129 - $1,156

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Facility Profile & Credentials

  • Address: 1046 6Th Avenue Sw, Albany, OR 97321
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals