CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Baptist Memorial Hospital Union County

Billing Code: 43239 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 43239
  • Insurance Median: $1,503
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.62x Medicare
The contracted insurance negotiated median rate for a Upper endoscopy with biopsy at Baptist Memorial Hospital Union County is $1,503. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $926.63, this hospital’s rate is 1.62x the Medicare baseline. Located in 200 Hwy 30 West, New Albany, MS.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,503

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%)
Insurance Median: $1,503 (162%)
Ins. Median: $1,503 (162% 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.

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
Triwest $802 87%
Ms Breast And Cervical $835 90%
Vaccn $835 90%
Veterans Evaluation Services $835 90%
Devoted Health $852 92%
Molina $852 - $1,545 92%
Blue Cross Blue Shield $860 - $3,396 93%
Aetna $877 95%
American Health Plan $877 95%
Humana $877 95%
Shared Health $877 95%
Magnolia Ms $1,196 129%
UnitedHealthcare $1,277 - $1,882 138%
First State Bank Trust $1,420 153%
Arlington Community Schools $1,503 162%
Armstrong Relocation $1,503 162%
Ashley Furniture Stores $1,503 162%
Bartlett City Schools $1,503 162%
Brimhall Foods $1,503 162%
Building Plastic $1,503 162%
Burch Food Services $1,503 162%
Cannon Motor Company $1,503 162%
Carlisle $1,503 162%
City Of Bartlett $1,503 162%
City Of Lakeland $1,503 162%
Collierville Schools $1,503 162%
Crittenden County $1,503 162%
Davidson Hospitality $1,503 162%
Delta Industries $1,503 162%
Desoto Co Board Of Supervisors $1,503 162%
Dunn Investment Company $1,503 162%
Eas Mssc Schools $1,503 162%
First Choice Health Plan Of Ms $1,503 162%
First Community Bank $1,503 162%
French Camp Academy $1,503 162%
Gossett Motor Cars $1,503 162%
Hattiesburg Clinic $1,503 162%
Heartland Catfish Company $1,503 162%
Heavy Machines $1,503 162%
Hollowell Industries $1,503 162%
Hospitality Management Advisors $1,503 162%
Jas D Collier $1,503 162%
Lakeland School System $1,503 162%
Malco Theaters $1,503 162%
Mechanical Systems $1,503 162%
Mid-South Transport $1,503 162%
Minact $1,503 162%
Patterson Warehouses $1,503 162%
Radians $1,503 162%
Rei Nation $1,503 162%
Retzer Resources $1,503 162%
Ritchey Automotive $1,503 162%
Security One $1,503 162%
Silver Tree $1,503 162%
State Systems $1,503 162%
Town Of Collierville $1,503 162%
United Tn Holdings $1,503 162%
Vaughn Electric $1,503 162%
W G Yates $1,503 162%
W W Wood Products $1,503 162%
Watkins Uiberall $1,503 162%
Y K Auto Group $1,503 162%
Employers Health Network $1,670 180%
Harding Academy $1,670 180%
Mpcn $1,670 180%
Primewell $2,338 252%
Advanced Health Systems Inc. $2,523 272%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 Hwy 30 West, New Albany, MS 38652
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals