CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Parrish Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$882

about 1.0× the $927 Medicare rate · typically $570–$2,190

modeled estimate · not a bill or quote

What this hospital charges insurers

$649

Below the fair price — a good deal

about $233 under the fair price · 0.7× Medicare

Medicare pays $927 Fair price $882 This hospital $649 Cash price $1,813 Hospital's list price $4,533

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

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

Cheapest $93 Priciest $649

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

A fair price for a Upper endoscopy with biopsy is about $882 (about 1.0× the $927 Medicare rate). Parrish Medical Center charges insurers about $649, or about $1,813 in cash — below the fair price — a good deal. Located in Titusville, FL.

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	$392 - $3,128	42%
Blue Cross Blue Shieldmajor	$791 - $3,524	85%
Aetnamajor	$649 - $4,080	70%
Cignamajor	$947 - $3,173	102%
Humanamajor	$649 - $2,266	70%
Molina	$675	73%
Simply Healthcare	$373	40%
+ 14 smaller / regional plans	$373 - $4,533

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,813), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 43239.

Insurance Before you use insurance

Call your insurance company to confirm Parrish Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 43239.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Parrish Medical Center

Compare: Upper endoscopy with biopsy at other FL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.