CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Bellin Memorial Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,182
about 1.3× the $927 Medicare rate · typically $858–$2,928
modeled estimate · not a bill or quote
What this hospital charges insurers
$829
Below the fair price — a good deal
about $353 under the fair price · 0.9× Medicare
Medicare pays $927 Fair price $1,182 This hospital $829 Cash price $2,045 Hospital's list price $3,146

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $116 Priciest $829

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

A fair price for a Upper endoscopy with biopsy is about $1,182 (about 1.3× the $927 Medicare rate). Bellin Memorial Hospital charges insurers about $829, or about $2,045 in cash — below the fair price — a good deal. Located in Green Bay, WI.

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✓ 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 $864 - $2,199 93%
Blue Cross Blue Shieldmajor $471 - $2,367 51%
Aetnamajor $812 - $828 88%
Cignamajor $2,218 - $2,243 239%
Humanamajor $812 - $1,768 88%
+ 12 smaller / regional plans $812 - $4,830
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 744 S Webster Ave, Green Bay, WI 54301
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals