CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Kadlec Regional Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,370
about 1.5× the $927 Medicare rate · typically $887–$1,456
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,460
About the fair price
about $90 over the fair price · 1.6× Medicare
Medicare pays $927 Fair price $1,370 This hospital $1,460 Cash price $2,046 Hospital's list price $2,923

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 $1,460

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 $1,370 (about 1.5× the $927 Medicare rate). Kadlec Regional Medical Center charges insurers about $1,460, or about $2,046 in cash — about the fair price. Located in Richland, 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✓ Kaiser Permanente Humana

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 $1,081 117%
Blue Cross Blue Shieldmajor $268 - $2,529 29%
Aetnamajor $1,041 - $1,051 112%
Cignamajor $1,213 - $10,013 131%
Kaiser Permanentemajor $1,011 - $2,839 109%
Amerigroup $1,112 120%
Molina $1,708 184%
+ 3 smaller / regional plans $1,092 - $2,916

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: 888 Swift Blvd, Richland, WA 99352
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals