CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Aurora Medical Ctr Oshkosh

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$3,184
about 3.4× the $927 Medicare rate · typically $1,106–$3,830
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,976
About the fair price
about $208 under the fair price · 3.2× Medicare
Medicare pays $927 Fair price $3,184 This hospital $2,976

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 $2,976

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 $3,184 (about 3.4× the $927 Medicare rate). Aurora Medical Ctr Oshkosh charges insurers about $2,976 — about the fair price. Located in Oshkosh, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $2,955 - $3,242 319%
Blue Cross Blue Shieldmajor $1,979 - $2,550 214%
Aetnamajor $3,119 337%
Cignamajor $6,800 734%
Molina $2,568 277%
Quartz $2,790 - $3,260 301%
+ 8 smaller / regional plans $2,153 - $4,387

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 855 N Westhaven Drive, Oshkosh, WI 54904
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals