CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Sabine Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$777
about 0.8× the $927 Medicare rate · typically $267–$1,223
modeled estimate · not a bill or quote
What this hospital charges insurers
$349
Below the fair price — a good deal
about $428 under the fair price · 0.4× Medicare
Medicare pays $927 Fair price $777 This hospital $349 Cash price $302 Hospital's list price $1,008

How we calculate the fair BaseRate →

How this hospital compares to other LA hospitals

One of the lower prices — 6 of 8 other LA hospitals charge more for the same procedure.

Cheapest $144 Priciest $515

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

A fair price for a Upper endoscopy with biopsy is about $777 (about 0.8× the $927 Medicare rate). Sabine Medical Center charges insurers about $349, or about $302 in cash — below the fair price — a good deal. Located in Many, LA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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 $1,976 213%
+ 5 smaller / regional plans $211 - $1,520
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 240 Highland Drive, Many, LA 71449
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals