CMS Price Transparency Data
Upper endoscopy with biopsy
Facility: Tidalhealth Nanticoke, Inc.
Billing Code: 43239 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$1,604
about 1.7× the $927 Medicare rate · typically $467–$2,299
modeled estimate · not a bill or quote
Medicare pays $927 Fair price $1,604 Cash price $1,200 Hospital's list price $1,200
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
1 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $2,465 | 266% |
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Other Procedures at Tidalhealth Nanticoke, Inc.
Compare: Upper endoscopy with biopsy at other DE hospitals
- PAM Rehabilitation Hospital of Dover · Dover $360
- PAM Health Rehabilitation Hospital of Georgetown · Georgetown $360
- Nemours Children's Hospital, Delaware · Wilmington $630
- Christiana Hospital · Newark $1,068
- Bayhealth Hospital, Sussex Campus · Milford $1,235
- Bayhealth Medical Center, Kent Campus · Dover $1,274
- St Francis Hospital · Wilmington $2,432
Insurance negotiated median for the same procedure, sorted lowest first.