CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: St Luke's Hospital - Carbon Campus

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$941
about 1.0× the $927 Medicare rate · typically $863–$988
modeled estimate · not a bill or quote
What this hospital charges insurers
$947
About the fair price
about $6 over the fair price · 1.0× Medicare
Medicare pays $927 Fair price $941 This hospital $947

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 $947

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 $941 (about 1.0× the $927 Medicare rate). St Luke's Hospital - Carbon Campus charges insurers about $947 — about the fair price. Located in Lehighton, PA.

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✓ Humana CignaKaiser 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 $1,008 109%
Blue Cross Blue Shieldmajor $178 - $4,300 19%
Aetnamajor $952 103%
Humanamajor $971 105%
AmeriHealth $178 19%
Geisinger $175 - $952 19%
UPMC Health Plan $178 - $980 19%
+ 1 smaller / regional plan $214

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Facility Profile & Credentials

  • Address: 500 St Luke's Drive, Lehighton, PA 18235
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals