CMS Price Transparency Data
Upper endoscopy with biopsy
Facility: Bmh-Golden Triangle
Billing Code: 43239 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 43239
- Insurance Median: $1,544
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.67x Medicare
The contracted insurance negotiated median rate for a Upper endoscopy with biopsy at Bmh-Golden Triangle is $1,544. 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 1.67x the Medicare baseline. Located in 2520 5Th Street N, Columbus, MS.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,544
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: $1,544 (167%)
Ins. Median: $1,544 (167% 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
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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 | $823 | 89% |
| Humana | $858 - $900 | 93% |
| Ms Breast And Cervical | $858 | 93% |
| Vaccn | $858 | 93% |
| Veterans Evaluation Services | $858 | 93% |
| Devoted Health | $875 | 94% |
| Molina | $875 - $1,586 | 94% |
| Blue Cross Blue Shield | $883 - $3,785 | 95% |
| Aetna | $900 | 97% |
| American Health Plan | $900 | 97% |
| Shared Health | $900 | 97% |
| Magnolia Ms | $1,158 | 125% |
| UnitedHealthcare | $1,277 - $1,884 | 138% |
| First State Bank Trust | $1,458 | 157% |
| Arlington Community Schools | $1,544 | 167% |
| Armstrong Relocation | $1,544 | 167% |
| Ashley Furniture Stores | $1,544 | 167% |
| Bartlett City Schools | $1,544 | 167% |
| Brimhall Foods | $1,544 | 167% |
| Building Plastic | $1,544 | 167% |
| Burch Food Services | $1,544 | 167% |
| Cannon Motor Company | $1,544 | 167% |
| Carlisle | $1,544 | 167% |
| City Of Bartlett | $1,544 | 167% |
| City Of Lakeland | $1,544 | 167% |
| Collierville Schools | $1,544 | 167% |
| Crittenden County | $1,544 | 167% |
| Davidson Hospitality | $1,544 | 167% |
| Delta Industries | $1,544 | 167% |
| Desoto Co Board Of Supervisors | $1,544 | 167% |
| Dunn Investment Company | $1,544 | 167% |
| Eas Mssc Schools | $1,544 | 167% |
| First Choice Health Plan Of Ms | $1,544 | 167% |
| First Community Bank | $1,544 | 167% |
| French Camp Academy | $1,544 | 167% |
| Gossett Motor Cars | $1,544 | 167% |
| Hattiesburg Clinic | $1,544 | 167% |
| Heartland Catfish Company | $1,544 | 167% |
| Heavy Machines | $1,544 | 167% |
| Hollowell Industries | $1,544 | 167% |
| Hospitality Management Advisors | $1,544 | 167% |
| Jas D Collier | $1,544 | 167% |
| Lakeland School System | $1,544 | 167% |
| Malco Theaters | $1,544 | 167% |
| Mechanical Systems | $1,544 | 167% |
| Mid-South Transport | $1,544 | 167% |
| Minact | $1,544 | 167% |
| Patterson Warehouses | $1,544 | 167% |
| Radians | $1,544 | 167% |
| Rei Nation | $1,544 | 167% |
| Retzer Resources | $1,544 | 167% |
| Ritchey Automotive | $1,544 | 167% |
| Security One | $1,544 | 167% |
| Silver Tree | $1,544 | 167% |
| State Systems | $1,544 | 167% |
| Town Of Collierville | $1,544 | 167% |
| United Tn Holdings | $1,544 | 167% |
| Vaughn Electric | $1,544 | 167% |
| W G Yates | $1,544 | 167% |
| W W Wood Products | $1,544 | 167% |
| Watkins Uiberall | $1,544 | 167% |
| Y K Auto Group | $1,544 | 167% |
| Employers Health Network | $1,715 | 185% |
| Harding Academy | $1,715 | 185% |
| Mpcn | $1,715 | 185% |
| Primewell | $2,401 | 259% |
| Advanced Health Systems Inc. | $2,523 | 272% |