CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: UF Health Shands Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,058
about 1.1× the $927 Medicare rate · typically $827–$1,823
modeled estimate · not a bill or quote
What this hospital charges insurers
$957
About the fair price
about $101 under the fair price · 1.0× Medicare
Medicare pays $927 Fair price $1,058 This hospital $957 Cash price $2,278 Hospital's list price $4,142

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 $957

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 $1,058 (about 1.1× the $927 Medicare rate). UF Health Shands Hospital charges insurers about $957, or about $2,278 in cash — about the fair price. Located in Gainesville, 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 $714 - $985 77%
Blue Cross Blue Shieldmajor $941 - $3,233 102%
Aetnamajor $742 - $3,413 80%
Cignamajor $3,350 362%
Humanamajor $714 - $957 77%
Ambetter (Centene) $1,562 169%
AmeriHealth $779 84%
AvMed $1,797 - $1,973 194%
Devoted Health $1,042 112%
GEHA $3,728 402%
Molina $779 84%
Simply Healthcare $776 84%
WellCare $947 102%
+ 19 smaller / regional plans $714 - $3,106
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1600 Sw Archer Rd, Gainesville, FL 32610
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals