CMS Price Transparency Data
Upper endoscopy with biopsy
Facility: Harrison Medical Center
Billing Code: 43239 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$812
about 0.9× the $927 Medicare rate · typically $812–$1,449
modeled estimate · not a bill or quote
Medicare pays $927 Fair price $812
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✓ Humana✓ Kaiser Permanente Cigna
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 | $1,104 - $1,180 | 119% |
| Blue Cross Blue Shieldmajor | $1,125 - $3,934 | 121% |
| Aetnamajor | $1,125 | 121% |
| Humanamajor | $1,169 | 126% |
| Kaiser Permanentemajor | $1,093 - $3,891 | 118% |
| Molina | $1,180 - $2,513 | 127% |
| WellCare | $1,073 | 116% |
| + 3 smaller / regional plans | $2,185 - $2,557 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Harrison Medical Center
Compare: Upper endoscopy with biopsy at other WA hospitals
- Arbor Health Morton Hospital · Morton $124
- Newport Community Hospital · Newport $142
- Prosser Memorial Hospital · Prosser $153
- Lake Chelan Community Hospital · Chelan $172
- Jefferson Healthcare · Port Townsend $187
- Lincoln Hospital · Davenport $190
- Kittitas Valley Community Hospital · Ellensburg $200
- Pullman Regional Hospital · Pullman $209
Insurance negotiated median for the same procedure, sorted lowest first.