CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Trigg County Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$358
about 0.4× the $927 Medicare rate · typically $197–$1,322
modeled estimate · not a bill or quote
What this hospital charges insurers
$374
About the fair price
about $16 over the fair price · 0.4× Medicare
Medicare pays $927 Fair price $358 This hospital $374 Cash price $172 Hospital's list price $429

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

Highest price of the 9 KY hospitals we have prices for — worth calling around.

Cheapest $119 Priciest $374

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 $358 (about 0.4× the $927 Medicare rate). Trigg County Hospital charges insurers about $374, or about $172 in cash — about the fair price. Located in Cadiz, 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 $117 - $647 13%
Blue Cross Blue Shieldmajor $115 - $925 12%
Aetnamajor $125 - $1,316 13%
Humanamajor $134 - $394 14%
Ambetter (Centene) $215 - $695 23%
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 254 Main Street, Cadiz, KY 42211
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals