CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Newport Community Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$180
about 0.2× the $927 Medicare rate · typically $139–$1,218
modeled estimate · not a bill or quote
What this hospital charges insurers
$142
Below the fair price — a good deal
about $38 under the fair price · 0.2× Medicare
Medicare pays $927 Fair price $180 This hospital $142 Cash price $322 Hospital's list price $322

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

One of the lower prices — 7 of 8 other WA hospitals charge more for the same procedure.

Cheapest $124 Priciest $211

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 $180 (about 0.2× the $927 Medicare rate). Newport Community Hospital charges insurers about $142, or about $322 in cash — below the fair price — a good deal. Located in Newport, WA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $142 - $266 15%
Blue Cross Blue Shieldmajor $142 15%
Aetnamajor $188 20%
Cignamajor $168 18%
Molina $142 - $161 15%
PacificSource $142 15%
WellCare $142 15%
+ 2 smaller / regional plans $135 - $142
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 714 West Pine Street, Newport, WA 99156
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals