CMS Price Transparency Data
Upper endoscopy with biopsy
Facility: Dallas County Medical Center
Billing Code: 43239 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$587
about 0.6× the $927 Medicare rate · typically $181–$1,431
modeled estimate · not a bill or quote
Medicare pays $927 Fair price $587 Cash price $535 Hospital's list price $535
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 | $620 | 67% |
| Blue Cross Blue Shieldmajor | $251 - $859 | 27% |
| Ambetter (Centene) | $314 | 34% |
| CareSource | $314 | 34% |
| + 1 smaller / regional plan | $314 |
Government programs also on file: Medicare, Medicaid, Military & VA.
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Other Procedures at Dallas County Medical Center
Compare: Upper endoscopy with biopsy at other AR hospitals
- Stone County Medical Center · Mountain View $100
- Mercy Hospital Ozark · Ozark $130
- Mercy Hospital Paris · Paris $153
- Mercy Hospital Waldron · Waldron $153
- Lawrence Memorial Hospital · Walnut Ridge $162
- Mercy Hospital Booneville · Booneville $215
- Delta Memorial Hospital · Dumas $337
- Chicot Memorial Medical Center · Lake Village $368
Insurance negotiated median for the same procedure, sorted lowest first.