CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: St Francis Community Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$2,085
about 2.2× the $927 Medicare rate · typically $1,422–$2,390
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,993
About the fair price
about $92 under the fair price · 2.1× Medicare
Medicare pays $927 Fair price $2,085 This hospital $1,993

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 $1,993

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 $2,085 (about 2.2× the $927 Medicare rate). St Francis Community Hospital charges insurers about $1,993 — about the fair price. Located in Federal Way, 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 $1,054 - $3,530 114%
Blue Cross Blue Shieldmajor $1,075 - $3,033 116%
Aetnamajor $1,075 - $4,676 116%
Cignamajor $5,920 639%
Humanamajor $1,117 121%
Kaiser Permanentemajor $906 - $1,044 98%
Amerigroup $1,137 123%
Molina $1,127 - $2,004 122%
+ 6 smaller / regional plans $1,044 - $3,210

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Facility Profile & Credentials

  • Address: 34515 9Th Avenue South, Federal Way, WA 98003
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals