CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: University of Mississippi Med Center

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,541

about 1.7× the $927 Medicare rate · typically $894–$1,601

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,212

Below the fair price — a good deal

about $329 under the fair price · 1.3× Medicare

Medicare pays $927 Fair price $1,541 This hospital $1,212 Cash price $832 Hospital's list price $2,080

How we calculate the fair BaseRate →

How this hospital compares to other MS hospitals

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

Cheapest $86 Priciest $1,212

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 $1,541 (about 1.7× 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

✓ 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	$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

Government programs also on file: Medicare, Military & VA.

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 832), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 43239.

Insurance Before you use insurance

Call your insurance company to confirm University of Mississippi Med Center is in-network.
Ask your insurer whether prior approval is required for CPT code 43239.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at University of Mississippi Med Center

Compare: Upper endoscopy with biopsy at other MS hospitals

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