CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Sauk Prairie Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,020
about 1.1× the $927 Medicare rate · typically $794–$1,911
modeled estimate · not a bill or quote
What this hospital charges insurers
$794
Below the fair price — a good deal
about $226 under the fair price · 0.9× Medicare
Medicare pays $927 Fair price $1,020 This hospital $794 Cash price $973 Hospital's list price $1,779

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 $794

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 $1,020 (about 1.1× the $927 Medicare rate). Sauk Prairie Hospital charges insurers about $794, or about $973 in cash — below the fair price — a good deal. Located in Prairie Du Sac, 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 $126 - $1,690 14%
Blue Cross Blue Shieldmajor $104 - $1,637 11%
Humanamajor $126 - $905 14%
Dean Health Plan $126 - $9,415 14%
Quartz $126 - $2,469 14%
+ 1 smaller / regional plan $682 - $1,539

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Facility Profile & Credentials

  • Address: 260 26Th Street, Prairie Du Sac, WI 53578
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals