CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Grant Regional Health Center

Billing Code: 43239 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$996
about 1.1× the $927 Medicare rate · typically $209–$2,946
modeled estimate · not a bill or quote
What this hospital charges insurers
$185
Below the fair price — a good deal
about $811 under the fair price · 0.2× Medicare
Medicare pays $927 Fair price $996 This hospital $185 Cash price $372 Hospital's list price $573

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

A typical price — 4 charge more and 4 charge less, among the 9 WI hospitals compared.

Cheapest $116 Priciest $568

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 $996 (about 1.1× the $927 Medicare rate). Grant Regional Health Center charges insurers about $185, or about $372 in cash — below the fair price — a good deal. Located in Lancaster, 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✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $181 - $185 20%
Blue Cross Blue Shieldmajor $266 29%
Dean Health Plan $72 8%
Quartz $116 - $259 13%
+ 4 smaller / regional plans $185 - $767

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Facility Profile & Credentials

  • Address: 507 S Monroe St, Lancaster, WI 53813
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals