CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Morton Plant North Bay Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,139
about 1.2× the $927 Medicare rate · typically $974–$1,552
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,082
About the fair price
about $57 under the fair price · 1.2× Medicare
Medicare pays $927 Fair price $1,139 This hospital $1,082

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 $1,082

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 $1,139 (about 1.2× the $927 Medicare rate). Morton Plant North Bay Hospital charges insurers about $1,082 — about the fair price. Located in New Port Richey, 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 $1,007 - $10,645 109%
Blue Cross Blue Shieldmajor $941 102%
Aetnamajor $941 - $1,082 102%
Cignamajor $1,082 117%
Humanamajor $978 - $1,176 106%
Ambetter (Centene) $2,117 - $2,400 228%
WellCare $1,318 142%
+ 2 smaller / regional plans $941 - $1,035

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Facility Profile & Credentials

  • Address: 6600 Madison Street, New Port Richey, FL 34652
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals