CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc.

Billing Code: 43239 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$366

about 0.4× the $927 Medicare rate · typically $149–$2,067

modeled estimate · not a bill or quote

What this hospital charges insurers

$228

Below the fair price — a good deal

about $138 under the fair price · 0.2× Medicare

Medicare pays $927 Fair price $366 This hospital $228

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

One of the lower prices — 6 of 8 other FL hospitals charge more for the same procedure.

Cheapest $93 Priciest $601

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 $366 (about 0.4× the $927 Medicare rate). H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. charges insurers about $228 — below the fair price — a good deal. Located in Tampa, 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	$108 - $7,883	12%
Blue Cross Blue Shieldmajor	$136 - $566	15%
Aetnamajor	$138 - $402	15%
Cignamajor	$235	25%
Humanamajor	$138 - $363	15%
AvMed	$194 - $508	21%
Devoted Health	$138 - $363	15%
+ 6 smaller / regional plans	$103 - $544

Excludes 2 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, 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 H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. 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 H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc.

Compare: Upper endoscopy with biopsy at other FL hospitals

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