CMS Price Transparency Data
Upper endoscopy with biopsy
Facility: Legacy Silverton Medical Center
Billing Code: 43239 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$1,082
about 1.2× the $927 Medicare rate · typically $886–$1,226
modeled estimate · not a bill or quote
Medicare pays $927 Fair price $1,082 Cash price $671 Hospital's list price $1,032
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
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Kaiser Permanente CignaHumana
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 |
|---|---|---|
| UnitedHealthcaremajor | $5,517 | 595% |
| Blue Cross Blue Shieldmajor | $1,818 | 196% |
| Aetnamajor | $1,069 | 115% |
| Kaiser Permanentemajor | $2,037 | 220% |
| + 2 smaller / regional plans | $1,018 - $1,120 |
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Other Procedures at Legacy Silverton Medical Center
Compare: Upper endoscopy with biopsy at other OR hospitals
- Wallowa Memorial Hospital · Enterprise $126
- Adventist Health Tillamook · Tillamook $142
- Saint Alphonsus Medical Center Ontario · Ontario $185
- Lower Umpqua Hospital District · Reedsport $227
- Mid-Columbia Medical Center · The Dalles $263
- Bay Area Hospital · Coos Bay $299
- Good Samaritan Regional Medical Center · Corvallis $349
- Samaritan Albany General Hospital · Albany $349
Insurance negotiated median for the same procedure, sorted lowest first.