CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Baptist Health Deaconess Madisonville

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$217
about 0.2× the $927 Medicare rate · typically $150–$816
modeled estimate · not a bill or quote
What this hospital charges insurers
$179
Below the fair price — a good deal
about $38 under the fair price · 0.2× Medicare
Medicare pays $927 Fair price $217 This hospital $179 Cash price $381 Hospital's list price $811

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

On the higher side — 7 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 $217 (about 0.2× the $927 Medicare rate). Baptist Health Deaconess Madisonville charges insurers about $179, or about $381 in cash — below the fair price — a good deal. Located in Madisonville, KY.

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✓ Aetna✓ Humana CignaKaiser 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 $123 13%
Blue Cross Blue Shieldmajor $123 - $843 13%
Aetnamajor $123 - $843 13%
Humanamajor $123 - $843 13%
Ambetter (Centene) $1,518 164%
Molina $179 19%
WellCare $179 19%
+ 7 smaller / regional plans $123 - $1,771

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.

Facility Profile & Credentials

  • Address: 900 Hospital Drive, Madisonville, KY 42431
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals