CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Sarasota Memorial Hospital - Venice

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,063
about 1.1× the $927 Medicare rate · typically $564–$1,405
modeled estimate · not a bill or quote
What this hospital charges insurers
$988
About the fair price
about $75 under the fair price · 1.1× Medicare
Medicare pays $927 Fair price $1,063 This hospital $988 Cash price $1,894 Hospital's list price $4,736

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 $988

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 $1,063 (about 1.1× the $927 Medicare rate). Sarasota Memorial Hospital - Venice charges insurers about $988, or about $1,894 in cash — about the fair price. Located in North Venice, 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✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $969 - $3,557 105%
Blue Cross Blue Shieldmajor $941 102%
Aetnamajor $969 - $4,729 105%
Ambetter (Centene) $2,541 274%
AmeriHealth $714 77%
AvMed $3,457 373%
Molina $701 76%
Oscar Health $2,032 219%
Simply Healthcare $649 - $681 70%
WellCare $988 107%
+ 6 smaller / regional plans $681 - $2,914
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2600 Laurel Road East, North Venice, FL 34275
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals