CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Kittitas Valley Community Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$220
about 0.2× the $927 Medicare rate · typically $147–$1,333
modeled estimate · not a bill or quote
What this hospital charges insurers
$200
About the fair price
about $20 under the fair price · 0.2× Medicare
Medicare pays $927 Fair price $220 This hospital $200 Cash price $642 Hospital's list price $755

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

On the higher side — 6 of 8 other WA hospitals charge less.

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 $220 (about 0.2× the $927 Medicare rate). Kittitas Valley Community Hospital charges insurers about $200, or about $642 in cash — about the fair price. Located in Ellensburg, 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 $207 22%
Blue Cross Blue Shieldmajor $201 - $632 22%
Aetnamajor $124 - $712 13%
Cignamajor $187 20%
+ 2 smaller / regional plans $199 - $646

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 603 South Chestnut, Ellensburg, WA 98926
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals