CMS Price Transparency Data
Upper endoscopy with biopsy
Facility: Baptist Memorial Hospital Jonesboro, Inc.
Billing Code: 43239 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 43239
- Insurance Median: $1,296
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.40x Medicare
The contracted insurance negotiated median rate for a Upper endoscopy with biopsy at Baptist Memorial Hospital Jonesboro, Inc. is $1,296. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $926.63, this hospital’s rate is 1.40x the Medicare baseline. Located in 4800 East Johnson Avenue, Jonesboro, AR.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,296
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$926.63
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $926.63 (100%)
Insurance Median: $1,296 (140%)
Ins. Median: $1,296 (140% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $926.63 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Home State Health Plan | $297 | 32% |
| Summit Community Care | $297 | 32% |
| Caresource | $306 | 33% |
| Access Health Services | $312 - $1,382 | 34% |
| Humana | $600 - $907 | 65% |
| Aetna | $660 - $907 | 71% |
| Cigna | $773 - $873 | 83% |
| Triwest | $829 | 89% |
| Blue Cross Blue Shield | $840 - $881 | 91% |
| Springs Of Jonesboro | $864 | 93% |
| Vaccn | $864 | 93% |
| Veterans Evaluation Services | $864 | 93% |
| Novasys | $873 - $1,123 | 94% |
| Devoted Health | $881 | 95% |
| UnitedHealthcare | $890 - $1,229 | 96% |
| Primewell | $907 - $2,419 | 98% |
| Shared Health | $907 | 98% |
| Arlington Community Schools | $1,296 | 140% |
| Armstrong Relocation | $1,296 | 140% |
| Ashley Furniture Stores | $1,296 | 140% |
| Bartlett City Schools | $1,296 | 140% |
| Brimhall Foods | $1,296 | 140% |
| Building Plastic | $1,296 | 140% |
| Cannon Motor Company | $1,296 | 140% |
| Carlisle | $1,296 | 140% |
| City Of Bartlett | $1,296 | 140% |
| City Of Lakeland | $1,296 | 140% |
| Collierville Schools | $1,296 | 140% |
| Crittenden County | $1,296 | 140% |
| Davidson Hospitality | $1,296 | 140% |
| Desoto Co Board Of Supervisors | $1,296 | 140% |
| Dunn Investment Company | $1,296 | 140% |
| Eas Mssc Schools | $1,296 | 140% |
| Gossett Motor Cars | $1,296 | 140% |
| Heavy Machines | $1,296 | 140% |
| Hollowell Industries | $1,296 | 140% |
| Hospitality Management Advisors | $1,296 | 140% |
| Jas D Collier | $1,296 | 140% |
| Lakeland School System | $1,296 | 140% |
| Malco Theaters | $1,296 | 140% |
| Mechanical Systems | $1,296 | 140% |
| Mid-South Transport | $1,296 | 140% |
| Patterson Warehouses | $1,296 | 140% |
| Radians | $1,296 | 140% |
| Rei Nation | $1,296 | 140% |
| Retzer Resources | $1,296 | 140% |
| Ritchey Automotive | $1,296 | 140% |
| Security One | $1,296 | 140% |
| Silver Tree | $1,296 | 140% |
| State Systems | $1,296 | 140% |
| Town Of Collierville | $1,296 | 140% |
| United Tn Holdings | $1,296 | 140% |
| Vaughn Electric | $1,296 | 140% |
| W W Wood Products | $1,296 | 140% |
| Watkins Uiberall | $1,296 | 140% |
| Y K Auto Group | $1,296 | 140% |
| First Community Bank | $1,382 | 149% |
| First State Bank Trust | $1,469 | 159% |
| Ppo Plus | $1,469 | 159% |
| Burch Food Services | $1,555 | 168% |
| First Choice Health Plan Of Ms | $1,555 | 168% |
| French Camp Academy | $1,555 | 168% |
| Hattiesburg Clinic | $1,555 | 168% |
| Heartland Catfish Company | $1,555 | 168% |
| W G Yates | $1,555 | 168% |
| Employers Health Network | $1,728 | 186% |
| Harding Academy | $1,728 | 186% |
| Multiplan | $2,227 | 240% |