CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Gundersen Lutheran Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$997
about 1.1× the $927 Medicare rate · typically $624–$1,629
modeled estimate · not a bill or quote
What this hospital charges insurers
$868
Below the fair price — a good deal
about $129 under the fair price · 0.9× Medicare
Medicare pays $927 Fair price $997 This hospital $868

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 $868

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 $997 (about 1.1× the $927 Medicare rate). Gundersen Lutheran Medical Center charges insurers about $868 — below the fair price — a good deal. Located in La Crosse, 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✓ Aetna CignaHumanaKaiser 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 $433 - $929 47%
Blue Cross Blue Shieldmajor $374 - $1,804 40%
Aetnamajor $929 100%
Amerigroup $868 - $929 94%
HealthPartners $864 93%
Molina $868 94%
UCare $864 - $975 93%
+ 7 smaller / regional plans $433 - $4,574

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Facility Profile & Credentials

  • Address: 1910 South Ave, La Crosse, WI 54601
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals