CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Richland Parish Hospital-Delhi

Billing Code: 43239 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 43239
Insurance Median: $1,223
Cash Discount Price: $997
vs. Medicare Baseline: 1.32x Medicare

The contracted insurance negotiated median rate for a Upper endoscopy with biopsy at Richland Parish Hospital-Delhi is $1,223. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $997. Compared to the federal Medicare reimbursement reference rate of $926.63, this hospital’s rate is 1.32x the Medicare baseline. Located in 407 Cincinnati Street, Delhi, LA.

Cash / Self-Pay

$997

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,223

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$926.63

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $926.63 (100%)

Cash / Self-Pay: $997 (108%)

Insurance Median: $1,223 (132%)

Cash: $997 (108% of Medicare)

Ins. Median: $1,223 (132% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $926.63 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$119 - $1,815	13%
Blue Cross Blue Shield	$119 - $1,463	13%
Humana	$119 - $1,974	13%
Vantage Mcr Adv	$119 - $1,407	13%
Cigna	$259 - $1,052	28%
Multiplan-All Plans	$339 - $1,974	37%
UnitedHealthcare	$468 - $1,858	51%
Ppo Plus-All Plans	$522 - $1,625	56%
Vantage Ppo	$633 - $2,206	68%
Vantage-All Other Plans	$633 - $2,090	68%
Galaxy Network-All Plans	$634 - $1,858	68%
Geha-All Plans	$634 - $1,625	68%
Amerihealth Caritas-All Plans	$746 - $1,815	81%
Healthy Blue Mcaid-All Plans	$746 - $1,815	81%
Verity Healthnet Exclusive	$1,742	188%
Verity Healthnet Standard-All Other Plans	$1,974	213%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $997.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 43239.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Richland Parish Hospital-Delhi is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 43239.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.