CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Tucson Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,050
about 1.1× the $927 Medicare rate · typically $583–$1,272
modeled estimate · not a bill or quote
What this hospital charges insurers
$965
About the fair price
about $85 under the fair price · 1.0× Medicare
Medicare pays $927 Fair price $1,050 This hospital $965

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

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

Cheapest $125 Priciest $965

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

A fair price for a Upper endoscopy with biopsy is about $1,050 (about 1.1× the $927 Medicare rate). Tucson Medical Center charges insurers about $965 — about the fair price. Located in Tucson, AZ.

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 $587 - $2,441 63%
Blue Cross Blue Shieldmajor $949 - $1,893 102%
Aetnamajor $5,102 551%
Cignamajor $658 71%
Humanamajor $963 104%
Banner Health $587 63%
Devoted Health $1,015 110%
+ 2 smaller / regional plans $587 - $1,214

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Facility Profile & Credentials

  • Address: 5301 East Grant Road, Tucson, AZ 85712
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals