CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Geisinger-Lewistown Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$929
about 1.0× the $927 Medicare rate · typically $397–$960
modeled estimate · not a bill or quote
What this hospital charges insurers
$918
About the fair price
about $11 under the fair price · 1.0× Medicare
Medicare pays $927 Fair price $929 This hospital $918 Cash price $2,243 Hospital's list price $3,618

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

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

Cheapest $147 Priciest $918

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

A fair price for a Upper endoscopy with biopsy is about $929 (about 1.0× the $927 Medicare rate). Geisinger-Lewistown Hospital charges insurers about $918, or about $2,243 in cash — about the fair price. Located in Lewistown, PA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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
UnitedHealthcaremajor $1,603 173%
Blue Cross Blue Shieldmajor $909 - $2,743 98%
Aetnamajor $1,478 - $1,758 160%
Cignamajor $1,565 - $1,903 169%
Humanamajor $918 99%
Ambetter (Centene) $2,182 235%
AmeriHealth $163 18%
Geisinger $159 - $4,262 17%
HealthPartners $178 19%
UPMC Health Plan $175 - $11,890 19%
+ 3 smaller / regional plans $918 - $2,894
Government programs also on file: Medicare, Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 400 Highland Avenue, Lewistown, PA 17044
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals