CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Halifax Health /UF Health Medical Center of Delton

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$924

about 1.0× the $927 Medicare rate · typically $632–$1,001

modeled estimate · not a bill or quote

What this hospital charges insurers

$938

About the fair price

about $14 over the fair price · 1.0× Medicare

Medicare pays $927 Fair price $924 This hospital $938

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 $938

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 $924 (about 1.0× the $927 Medicare rate). Halifax Health /UF Health Medical Center of Delton charges insurers about $938 — about the fair price. Located in Deltona, 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	$938	101%
Blue Cross Blue Shieldmajor	$938	101%
Aetnamajor	$938 - $1,943	101%
Cignamajor	$938	101%
Humanamajor	$909 - $1,866	98%
Devoted Health	$975	105%
Health Net	$1,875	202%
Molina	$956	103%
WellCare	$938	101%
+ 12 smaller / regional plans	$797 - $2,110

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

Excludes 1 rental-network / third-party entry (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 Halifax Health /UF Health Medical Center of Delton 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 (%)

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Other Procedures at Halifax Health /UF Health Medical Center of Delton

Compare: Upper endoscopy with biopsy at other FL hospitals

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