CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Cascade Valley Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,542
about 1.7× the $927 Medicare rate · typically $1,023–$2,303
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,078
Below the fair price — a good deal
about $464 under the fair price · 1.2× Medicare
Medicare pays $927 Fair price $1,542 This hospital $1,078 Cash price $1,089 Hospital's list price $1,361

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 $1,078

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 $1,542 (about 1.7× the $927 Medicare rate). Cascade Valley Hospital charges insurers about $1,078, or about $1,089 in cash — below the fair price — a good deal. Located in Arlington, WA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 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 $938 - $3,440 101%
Blue Cross Blue Shieldmajor $984 - $3,434 106%
Aetnamajor $1,021 110%
Cignamajor $988 107%
Humanamajor $116 - $984 13%
Kaiser Permanentemajor $2,233 241%
Amerigroup $1,078 116%
Molina $1,013 109%
+ 3 smaller / regional plans $1,013 - $1,500
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 330 S Stillaguamish Ave, Arlington, WA 98223
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals