CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Baptist Memorial Hospital-Oktibbeha County

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$757

about 0.8× the $927 Medicare rate · typically $549–$1,198

modeled estimate · not a bill or quote

What this hospital charges insurers

$782

About the fair price

about $25 over the fair price · 0.8× Medicare

Medicare pays $927 Fair price $757 This hospital $782 Cash price $501 Hospital's list price $783

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 $782

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 $757 (about 0.8× the $927 Medicare rate). Baptist Memorial Hospital-Oktibbeha County charges insurers about $782, or about $501 in cash — about the fair price. Located in Starkville, 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	$783	84%
Blue Cross Blue Shieldmajor	$542	58%
Aetnamajor	$431	47%
Cignamajor	$783	84%
Humanamajor	$548 - $782	59%
Ambetter (Centene)	$706	76%
HealthLink	$548	59%
Molina	$714 - $783	77%
+ 12 smaller / regional plans	$510 - $783

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

Excludes 2 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 501), 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 Baptist Memorial Hospital-Oktibbeha County 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 Baptist Memorial Hospital-Oktibbeha County

Compare: Upper endoscopy with biopsy at other MS hospitals

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