Surgery · procedure code 43239

Upper endoscopy cost in Kansas

Salina, KS has 74 filings for Upper GI endoscopy with biopsy. We need 100 before we will publish a market figure, so this page shows Kansas instead and says so. These are the rates plans published under federal law. Not billed charges, and nothing here is scaled, adjusted or estimated to stand in for the market we do not hold.

State market

Upper endoscopy

KS · procedure code 43239

Statewide· n=4,375Pooled filings, payers not identified

We do not have a publishable distribution for Salina, KS, so this is the KS market instead. The label above says so on purpose.

Medicare
$172
25th
$268
Median
$476
75th
$690
90th
$17225th
$268Median
$47675th
$69090th
$383Medicare

Middle price

$268

Half of this market is above it, half below

Middle half spans

$172 to $476

2.8x from low to high

The expensive end

$690

What the priciest providers charge

Medicare reference · Kansas (nearest published locality)

$383

Performed in an office

$116

Physician fee in a facility

Read this carefully. The facility figure is the physician fee only. When the same service happens in a hospital outpatient department, the hospital bills its own facility payment on top, and that amount is not in this dataset. So the lower number here does not mean the hospital is the cheaper site. It usually is not. We will not publish a total cost by site of service until we hold the facility payment.

Negotiated prices from published filings, reported only where the sample supports it. Statewide peer distribution, not a single-city sample. What plans have agreed to pay, not what a patient is billed. Filings as of July 20, 2026.

Reading it

What this distribution actually says.

The spread

The middle half of this market runs from $172 to $476, a 2.8x difference for the same procedure code in the same city. That gap is between contracts, not between quality.

Against Medicare

Medicare pays $383 for this service at its Kansas locality. We do not turn that into a percentage here, because the price above is Kansas and that Medicare figure is one locality inside it. Two different maps do not divide.

The expensive end

One in ten filings sits at or above $690. If a plan's network is weighted toward that end, the difference does not show up in a premium quote. It shows up in the claims.

How wide the data runs

The carriers that filed for this procedure in this market. What each plan has agreed to pay, side by side. These are prices, not bills, so they do not show how often anyone needs it.

The same service elsewhere

Upper endoscopy across other markets.

Local · metro4 of 5 measured locally
MarketLow endMiddleHigh endProvidersBasis
Kansas this page$172$268$4764,375Statewide
Wichita, KS$193$322$514489Local · metro
Topeka, KS$197$295$475229Local · metro
Manhattan, KS$231$381$573151Local · metro
Lawrence, KS$170$382$637101Local · metro

Put this in front of a client.

Every figure on this page carries its source, its scope and the date the corpus was built, so it survives being forwarded to someone who was not in the meeting.

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