CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Marshfield Medical Center - Beaver Dam (Mmc-Bd)

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,199
about 1.3× the $927 Medicare rate · typically $874–$2,706
modeled estimate · not a bill or quote
What this hospital charges insurers
$894
Below the fair price — a good deal
about $305 under the fair price · 1.0× Medicare
Medicare pays $927 Fair price $1,199 This hospital $894

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 $894

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 $1,199 (about 1.3× the $927 Medicare rate). Marshfield Medical Center - Beaver Dam (Mmc-Bd) charges insurers about $894 — below the fair price — a good deal. Located in Beaver Dam, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $894 - $4,726 96%
Blue Cross Blue Shieldmajor $920 - $5,571 99%
Humanamajor $894 96%
Molina $894 96%
Quartz $894 96%
Security Health Plan $894 96%
+ 4 smaller / regional plans $894 - $956
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 707 S University Ave, Beaver Dam, WI 53916
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals