CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Trios Health

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$900
about 1.0× the $927 Medicare rate · typically $668–$1,383
modeled estimate · not a bill or quote
What this hospital charges insurers
$668
Below the fair price — a good deal
about $232 under the fair price · 0.7× Medicare
Medicare pays $927 Fair price $900 This hospital $668 Cash price $1,305 Hospital's list price $3,264

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

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

Cheapest $124 Priciest $668

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

A fair price for a Upper endoscopy with biopsy is about $900 (about 1.0× the $927 Medicare rate). Trios Health charges insurers about $668, or about $1,305 in cash — below the fair price — a good deal. Located in Kennewick, WA.

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 $500 - $3,577 54%
Blue Cross Blue Shieldmajor $668 - $2,383 72%
Aetnamajor $1,169 - $1,881 126%
Cignamajor $1,177 - $2,255 127%
Humanamajor $525 57%
Molina $525 - $636 57%
+ 8 smaller / regional plans $195 - $2,898

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 3780 Plaza Way, Kennewick, WA 99338
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals