CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Lincoln Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$179
about 0.2× the $927 Medicare rate · typically $140–$1,220
modeled estimate · not a bill or quote
What this hospital charges insurers
$190
About the fair price
about $11 over the fair price · 0.2× Medicare
Medicare pays $927 Fair price $179 This hospital $190 Cash price $704 Hospital's list price $782

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

A typical price — 3 charge more and 5 charge less, among the 9 WA hospitals compared.

Cheapest $124 Priciest $211

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Upper endoscopy with biopsy is about $179 (about 0.2× the $927 Medicare rate). Lincoln Hospital charges insurers about $190, or about $704 in cash — about the fair price. Located in Davenport, WA.

What each insurance company pays

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

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna Blue Cross Blue ShieldCignaHumanaKaiser 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 $79 - $220 9%
Aetnamajor $124 13%
Ambetter (Centene) $220 24%
Amerigroup $234 25%
Molina $79 - $220 9%
+ 4 smaller / regional plans $124 - $244
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 10 Nichols Street, Davenport, WA 99122
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals