CMS Price Transparency Data
Upper endoscopy with biopsy
Facility: Candler County Hospital
Billing Code: 43239 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$1,213
about 1.3× the $927 Medicare rate · typically $218–$3,031
modeled estimate · not a bill or quote
Medicare pays $927 Fair price $1,213 Hospital's list price $979
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser 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 | $669 - $681 | 72% |
| Blue Cross Blue Shieldmajor | $233 - $2,723 | 25% |
| Cignamajor | $489 - $497 | 53% |
| Humanamajor | $196 - $199 | 21% |
| Ambetter (Centene) | $252 - $257 | 27% |
| CareSource | $249 - $253 | 27% |
Government programs also on file: Medicaid.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Candler County 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.