CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Prattville Baptist Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,085
about 1.2× the $927 Medicare rate · typically $967–$1,183
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,078
About the fair price
about $7 under the fair price · 1.2× Medicare
Medicare pays $927 Fair price $1,085 This hospital $1,078

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 $1,078

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 $1,085 (about 1.2× the $927 Medicare rate). Prattville Baptist Hospital charges insurers about $1,078 — about the fair price. Located in Prattville, AL.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser 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 $949 - $3,372 102%
Blue Cross Blue Shieldmajor $862 - $1,733 93%
Cignamajor $2,367 255%
Humanamajor $905 98%
Ambetter (Centene) $1,207 130%
+ 1 smaller / regional plan $931

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Facility Profile & Credentials

  • Address: 124 S Memorial Dr, Prattville, AL 36067
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals