CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Baptist Memorial Hospital North Ms

Billing Code: 43239 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 43239
  • Insurance Median: $1,535
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.66x Medicare
The contracted insurance negotiated median rate for a Upper endoscopy with biopsy at Baptist Memorial Hospital North Ms is $1,535. 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 1.66x the Medicare baseline. Located in 1100 Belk Blvd, Oxford, MS.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,535

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: $1,535 (166%)
Ins. Median: $1,535 (166% 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 $819 88%
Ms Breast And Cervical $853 92%
Vaccn $853 92%
Veterans Evaluation Services $853 92%
Devoted Health $870 94%
Molina $870 - $1,578 94%
Blue Cross Blue Shield $879 - $3,154 95%
Aetna $896 97%
American Health Plan $896 97%
Humana $896 97%
Shared Health $896 97%
Magnolia Ms $1,152 124%
UnitedHealthcare $1,277 - $1,883 138%
Brimhall Foods $1,279 138%
First State Bank Trust $1,450 156%
Arlington Community Schools $1,535 166%
Armstrong Relocation $1,535 166%
Ashley Furniture Stores $1,535 166%
Bartlett City Schools $1,535 166%
Building Plastic $1,535 166%
Burch Food Services $1,535 166%
Cannon Motor Company $1,535 166%
Carlisle $1,535 166%
City Of Bartlett $1,535 166%
City Of Lakeland $1,535 166%
Collierville Schools $1,535 166%
Crittenden County $1,535 166%
Davidson Hospitality $1,535 166%
Delta Industries $1,535 166%
Desoto Co Board Of Supervisors $1,535 166%
Dunn Investment Company $1,535 166%
Eas Mssc Schools $1,535 166%
First Choice Health Plan Of Ms $1,535 166%
First Community Bank $1,535 166%
French Camp Academy $1,535 166%
Gossett Motor Cars $1,535 166%
Hattiesburg Clinic $1,535 166%
Heartland Catfish Company $1,535 166%
Heavy Machines $1,535 166%
Hollowell Industries $1,535 166%
Hospitality Management Advisors $1,535 166%
Jas D Collier $1,535 166%
Lakeland School System $1,535 166%
Malco Theaters $1,535 166%
Mechanical Systems $1,535 166%
Mid-South Transport $1,535 166%
Minact $1,535 166%
Patterson Warehouses $1,535 166%
Radians $1,535 166%
Rei Nation $1,535 166%
Retzer Resources $1,535 166%
Ritchey Automotive $1,535 166%
Security One $1,535 166%
Silver Tree $1,535 166%
State Systems $1,535 166%
Town Of Collierville $1,535 166%
United Tn Holdings $1,535 166%
Vaughn Electric $1,535 166%
W G Yates $1,535 166%
W W Wood Products $1,535 166%
Watkins Uiberall $1,535 166%
Y K Auto Group $1,535 166%
Employers Health Network $1,706 184%
Harding Academy $1,706 184%
Mpcn $1,706 184%
Primewell $2,388 258%
Advanced Health Systems Inc. $2,523 272%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 Belk Blvd, Oxford, MS 38655
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals