CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Columbus Community Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$922
about 1.0× the $927 Medicare rate · typically $212–$4,196
modeled estimate · not a bill or quote
What this hospital charges insurers
$927
About the fair price
about $5 over the fair price · 1.0× Medicare
Medicare pays $927 Fair price $922 This hospital $927

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 $927

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 $922 (about 1.0× the $927 Medicare rate). Columbus Community Hospital charges insurers about $927 — about the fair price. Located in Columbus, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare Blue Cross Blue ShieldAetnaCignaHumanaKaiser 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 $927 100%
Dean Health Plan $927 - $5,956 100%
Quartz $927 100%
Security Health Plan $927 100%
+ 2 smaller / regional plans $864 - $927

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Facility Profile & Credentials

  • Address: 1515 Park Ave, Columbus, WI 53925
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals