CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Excela Health Latrobe Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$870
about 0.9× the $927 Medicare rate · typically $384–$1,007
modeled estimate · not a bill or quote
What this hospital charges insurers
$941
About the fair price
about $71 over the fair price · 1.0× Medicare
Medicare pays $927 Fair price $870 This hospital $941 Cash price $1,140 Hospital's list price $1,900

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 $941

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 $870 (about 0.9× the $927 Medicare rate). Excela Health Latrobe Hospital charges insurers about $941, or about $1,140 in cash — about the fair price. Located in Latrobe, 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 $919 - $2,362 99%
Blue Cross Blue Shieldmajor $346 - $1,949 37%
Aetnamajor $910 - $2,032 98%
Cignamajor $928 - $2,046 100%
Humanamajor $919 99%
Ambetter (Centene) $1,104 119%
AmeriHealth $365 - $928 39%
Devoted Health $928 100%
Geisinger $337 - $928 36%
HealthPartners $337 - $910 36%
UPMC Health Plan $357 - $1,820 39%
+ 10 smaller / regional plans $365 - $2,076

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Facility Profile & Credentials

  • Address: One Mellon Way, Latrobe, PA 15650
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals