CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Ascension Columbia St Marys Hospital Milwaukee

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,551
about 1.7× the $927 Medicare rate · typically $953–$3,700
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,485
About the fair price
about $66 under the fair price · 1.6× Medicare
Medicare pays $927 Fair price $1,551 This hospital $1,485

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 $1,485

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 $1,551 (about 1.7× the $927 Medicare rate). Ascension Columbia St Marys Hospital Milwaukee charges insurers about $1,485 — about the fair price. Located in Milwaukee, WI.

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✓ Humana Blue Cross Blue ShieldAetnaCignaKaiser 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 $1,485 160%
Humanamajor $1,485 160%
Molina $2,008 217%
+ 2 smaller / regional plans $218 - $1,396
Government programs also on file: Medicare, Military & VA.

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Facility Profile & Credentials

  • Address: 2323 N Lake Dr, Milwaukee, WI 53211
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals