CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Vernon Memorial Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$1,932
about 2.1× the $927 Medicare rate · typically $258–$3,136
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,155
About the fair price
about $223 over the fair price · 2.3× Medicare
Medicare pays $927 Fair price $1,932 This hospital $2,155 Cash price $3,804 Hospital's list price $3,804

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 $2,155

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 $1,932 (about 2.1× the $927 Medicare rate). Vernon Memorial Hospital charges insurers about $2,155, or about $3,804 in cash — about the fair price. Located in Viroqua, 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✓ Aetna CignaHumanaKaiser 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 $1,652 - $3,650 178%
Blue Cross Blue Shieldmajor $3,250 - $3,340 351%
Aetnamajor $2,498 - $3,376 270%
Quartz $1,271 - $2,622 137%
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 507 South Main St, Viroqua, WI 54665
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals