CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Multicare Covington Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,604
about 1.7× the $927 Medicare rate · typically $1,270–$2,192
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,587
About the fair price
about $17 under the fair price · 1.7× Medicare
Medicare pays $927 Fair price $1,604 This hospital $1,587

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 $1,587

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 $1,604 (about 1.7× the $927 Medicare rate). Multicare Covington Medical Center charges insurers about $1,587 — about the fair price. Located in Covington, 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 $717 - $1,064 77%
Blue Cross Blue Shieldmajor $717 - $4,162 77%
Aetnamajor $1,053 - $4,374 114%
Cignamajor $7,058 762%
Kaiser Permanentemajor $3,526 381%
Ambetter (Centene) $2,045 221%
Molina $664 - $1,892 72%
WellCare $1,074 116%
+ 3 smaller / regional plans $717 - $4,998

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Facility Profile & Credentials

  • Address: 17700 Se 272Nd St, Covington, WA 98042
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals