CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: St Vincent's Chilton

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$909
about 1.0× the $927 Medicare rate · typically $824–$1,052
modeled estimate · not a bill or quote
What this hospital charges insurers
$872
About the fair price
about $37 under the fair price · 0.9× Medicare
Medicare pays $927 Fair price $909 This hospital $872 Hospital's list price $1,849

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 $872

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 $909 (about 1.0× the $927 Medicare rate). St Vincent's Chilton charges insurers about $872 — about the fair price. Located in Clanton, 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 $831 - $2,629 90%
Blue Cross Blue Shieldmajor $797 86%
Aetnamajor $855 - $906 92%
Cignamajor $855 - $2,062 92%
Humanamajor $839 - $1,109 91%
Ambetter (Centene) $115 - $1,142 12%
+ 2 smaller / regional plans $1,121 - $1,479
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2030 Lay Dam Road, Clanton, AL 35045
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals