CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: University of Alabama Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$833

about 0.9× the $927 Medicare rate · typically $760–$1,048

modeled estimate · not a bill or quote

What this hospital charges insurers

$839

About the fair price

about $6 over the fair price · 0.9× Medicare

Medicare pays $927 Fair price $833 This hospital $839 Hospital's list price $4,844

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

Highest price of the 9 AL hospitals we have prices for — worth calling around.

Cheapest $318 Priciest $839

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

A fair price for a Upper endoscopy with biopsy is about $833 (about 0.9× the $927 Medicare rate). University of Alabama Hospital charges insurers about $839 — about the fair price. Located in Birmingham, AL.

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	$839 - $4,313	91%
Blue Cross Blue Shieldmajor	$839	91%
Aetnamajor	$2,955 - $3,912	319%
Cignamajor	$898 - $3,694	97%
Humanamajor	$772 - $4,117	83%
Ambetter (Centene)	$1,154	125%
GEHA	$4,117	444%
+ 24 smaller / regional plans	$318 - $4,360

Government programs also on file: Military & VA.

Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 43239.

Insurance Before you use insurance

Call your insurance company to confirm University of Alabama Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 43239.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at University of Alabama Hospital

Compare: Upper endoscopy with biopsy at other AL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.