CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Greater Baltimore Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$762
about 0.8× the $927 Medicare rate · typically $344–$1,256
modeled estimate · not a bill or quote
What this hospital charges insurers
$402
Below the fair price — a good deal
about $360 under the fair price · 0.4× Medicare
Medicare pays $927 Fair price $762 This hospital $402 Cash price $766 Hospital's list price $766

How we calculate the fair BaseRate →

How this hospital compares to other MD hospitals

Lowest price of the 2 MD hospitals we have prices for — a strong deal.

Cheapest $402 Priciest $2,099

Black dot = this hospital, among the 2 MD hospitals with a price for this procedure. Full list below.

A fair price for a Upper endoscopy with biopsy is about $762 (about 0.8× the $927 Medicare rate). Greater Baltimore Medical Center charges insurers about $402, or about $766 in cash — below the fair price — a good deal. Located in Baltimore, MD.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 $274 - $553 30%
Blue Cross Blue Shieldmajor $274 - $793 30%
Aetnamajor $274 - $454 30%
Cignamajor $402 - $512 43%
Humanamajor $402 43%
Kaiser Permanentemajor $567 61%
UniCare $402 43%
+ 8 smaller / regional plans $274 - $539
Government programs also on file: Medicare, Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 6701 North Charles Street, Baltimore, MD 21204
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals

Compare: Upper endoscopy with biopsy at other MD hospitals

Insurance negotiated median for the same procedure, sorted lowest first.