Upper endoscopy with biopsy
Facility: University of Mississippi Med Center
Billing Code: 43239 (CPT)
This hospital's typical commercial price is $1,212 compared to the $1,464 fair price benchmark.
2-Star CMS clinical quality rating paired with 0.83× fair market pricing.
Highest price of the 9 MS hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 MS hospitals with a price for this procedure. Full list below.
A fair price for a Upper endoscopy with biopsy is about $1,464 (about 1.6× the $927 Medicare rate). University of Mississippi Med Center charges insurers about $1,212, or about $832 in cash — below the fair price — a good deal. Located in Jackson, MS.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
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 | $843 - $2,080 | 91% |
| Blue Cross Blue Shieldmajor | $831 | 90% |
| Aetnamajor | $1,768 | 191% |
| Cignamajor | $1,206 | 130% |
| Humanamajor | $852 | 92% |
| Ambetter (Centene) | $2,064 | 223% |
| HealthLink | $1,768 | 191% |
| Molina | $736 - $1,761 | 79% |
| WellCare | $843 | 91% |
| + 11 smaller / regional plans | $521 - $2,080 |
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.
Other Procedures at University of Mississippi Med Center
Compare: Upper endoscopy with biopsy at other MS hospitals
- Field Health System · Centreville $86
- Wayne General Hospital · Waynesboro $116
- North Sunflower Medical Center Cah · Ruleville $134
- S E Lackey Memorial Hospital · Forest $309
- Monroe Regional Hospital · Aberdeen $341
- Highland Hills Medical Center · Senatobia $361
- Simpson General Hospital Cah · Mendenhall $630
- Memorial Hospital at Gulfport · Gulfport $672
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at University of Mississippi Med Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $755
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $755).
Self-Pay Cash Rate ($832) Beats Your Bill
University of Mississippi Med Center's published 45 CFR § 180 self-pay cash rate is $832 (vs. $1,212 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $1,464 Fair BaseRate ($927 Medicare)
Your bill ($2,080) is $616 above the denoised Fair BaseRate ($1,464) and 2.2× the $927 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.