CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: T J Samson Community Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$201
about 0.2× the $927 Medicare rate · typically $140–$838
modeled estimate · not a bill or quote
What this hospital charges insurers
$154
Below the fair price — a good deal
about $47 under the fair price · 0.2× Medicare
Medicare pays $927 Fair price $201 This hospital $154 Cash price $235 Hospital's list price $361

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

On the higher side — 6 of 8 other KY hospitals charge less.

Cheapest $119 Priciest $342

Black dot = this hospital, among the 9 KY hospitals with a price for this procedure. Full list below.

A fair price for a Upper endoscopy with biopsy is about $201 (about 0.2× the $927 Medicare rate). T J Samson Community Hospital charges insurers about $154, or about $235 in cash — below the fair price — a good deal. Located in Glasgow, KY.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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
Blue Cross Blue Shieldmajor $119 - $175 13%
Aetnamajor $361 39%
Humanamajor $132 - $361 14%
CareSource $154 17%
Devoted Health $125 13%
Molina $121 - $372 13%
WellCare $119 - $361 13%
+ 2 smaller / regional plans $119

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Facility Profile & Credentials

  • Address: 1301 North Race Street, Glasgow, KY 42141
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals