CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Black River Memorial Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$403
about 0.4× the $927 Medicare rate · typically $131–$1,786
modeled estimate · not a bill or quote
What this hospital charges insurers
$438
About the fair price
about $35 over the fair price · 0.5× Medicare
Medicare pays $927 Fair price $403 This hospital $438 Cash price $2,216 Hospital's list price $2,462

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

On the higher side — 7 of 8 other WI hospitals charge less.

Cheapest $116 Priciest $568

Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Upper endoscopy with biopsy is about $403 (about 0.4× the $927 Medicare rate). Black River Memorial Hospital charges insurers about $438, or about $2,216 in cash — about the fair price. Located in Black River Falls, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $124 - $2,388 13%
Blue Cross Blue Shieldmajor $272 - $730 29%
Aetnamajor $2,388 258%
Cignamajor $2,388 258%
Humanamajor $124 - $2,290 13%
HealthPartners $2,388 258%
Medica $2,300 248%
Quartz $272 - $2,240 29%
Security Health Plan $412 - $2,062 44%
+ 10 smaller / regional plans $272 - $2,413
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 711 W Adams St, Black River Falls, WI 54615
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals