CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Bay Area Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$976
about 1.1× the $927 Medicare rate · typically $436–$1,338
modeled estimate · not a bill or quote
What this hospital charges insurers
$299
Below the fair price — a good deal
about $677 under the fair price · 0.3× Medicare
Medicare pays $927 Fair price $976 This hospital $299 Cash price $293 Hospital's list price $390

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

A typical price — 3 charge more and 5 charge less, among the 9 OR hospitals compared.

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 $976 (about 1.1× the $927 Medicare rate). Bay Area Hospital charges insurers about $299, or about $293 in cash — below the fair price — a good deal. Located in Coos Bay, OR.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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 $276 30%
Health Net $133 - $390 14%
Moda Health $133 - $362 14%
PacificSource $319 34%
+ 5 smaller / regional plans $164 - $488
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1775 Thompson Road, Coos Bay, OR 97420
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals