CMS Price Transparency Data
Upper endoscopy with biopsy
Facility: Phoebe Putney Memorial Hospital
Billing Code: 43239 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$995
about 1.1× the $927 Medicare rate · typically $851–$1,926
modeled estimate · not a bill or quote
Medicare pays $927 Fair price $995 Cash price $538 Hospital's list price $896
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 | $874 | 94% |
| Aetnamajor | $891 - $1,354 | 96% |
| Humanamajor | $917 | 99% |
| Ambetter (Centene) | $1,529 | 165% |
| Clover Health | $900 | 97% |
| + 1 smaller / regional plan | $1,267 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Enter your details and press estimate to compare.
Other Procedures at Phoebe Putney Memorial Hospital
Compare: Upper endoscopy with biopsy at other GA hospitals
- Miller County Hospital · Colquitt $158
- Atrium Health Navicent Peach · Byron $167
- Jeff Davis Hospital · Hazlehurst $203
- Shepherd Center, Inc. · Atlanta $451
- Grady Memorial Hospital · Atlanta $518
- Navicent Health Baldwin · Milledgeville $629
- Atrium Health Navicent Rehabilitation Hopsital · Macon $652
- Atrium Health Navicent the Medical Center · Macon $669
Insurance negotiated median for the same procedure, sorted lowest first.