CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Newport Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,734
about 1.9× the $927 Medicare rate · typically $976–$2,127
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,846
About the fair price
about $112 over the fair price · 2.0× Medicare
Medicare pays $927 Fair price $1,734 This hospital $1,846 Cash price $3,153 Hospital's list price $3,153

How we calculate the fair BaseRate →

How this hospital compares to other RI hospitals

A typical price — 2 charge more and 2 charge less, among the 5 RI hospitals compared.

Cheapest $965 Priciest $1,875

Black dot = this hospital, among the 5 RI hospitals with a price for this procedure. Full list below.

A fair price for a Upper endoscopy with biopsy is about $1,734 (about 1.9× the $927 Medicare rate). Newport Hospital charges insurers about $1,846, or about $3,153 in cash — about the fair price. Located in Newport, RI.

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✓ Cigna HumanaKaiser 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 $4,052 437%
Blue Cross Blue Shieldmajor $952 - $2,051 103%
Aetnamajor $1,043 113%
Cignamajor $4,440 479%
Harvard Pilgrim $2,869 310%
Tufts Health Plan $1,811 195%

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Facility Profile & Credentials

  • Address: 11 Friendship Street, Newport, RI 02840
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals