CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Baptist Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,040
about 1.1× the $927 Medicare rate · typically $898–$1,700
modeled estimate · not a bill or quote
What this hospital charges insurers
$946
About the fair price
about $94 under the fair price · 1.0× Medicare
Medicare pays $927 Fair price $1,040 This hospital $946

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 $946

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 $1,040 (about 1.1× the $927 Medicare rate). Baptist Hospital charges insurers about $946 — about the fair price. Located in Pensacola, FL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser 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 $645 - $946 70%
Aetnamajor $645 - $988 70%
Humanamajor $677 - $960 73%
Cigna HealthSpring $969 105%
Simply Healthcare $742 80%
WellCare $988 107%
+ 7 smaller / regional plans $645 - $1,412
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 123 Baptist Way, Pensacola, FL 32503
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals