CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Mississippi Baptist Medical Center

Billing Code: 43239 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 43239
  • Insurance Median: $1,532
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.65x Medicare
The contracted insurance negotiated median rate for a Upper endoscopy with biopsy at Mississippi Baptist Medical Center is $1,532. 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 1.65x the Medicare baseline. Located in 1225 N State St, Jackson, MS.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,532

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: $1,532 (165%)
Ins. Median: $1,532 (165% 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
Ms Breast And Cervical $851 92%
Triwest $851 92%
Vaccn $851 92%
Veterans Evaluation Services $851 92%
Devoted Health $868 94%
Molina $868 - $1,575 94%
Blue Cross Blue Shield $877 - $1,787 95%
Aetna $894 96%
American Health Plan $894 96%
Cigna $894 96%
Humana $894 96%
Magnolia Ms $894 - $1,662 96%
Shared Health $894 96%
Wellcare $894 96%
Occunet $1,277 138%
First State Bank Trust $1,447 156%
Armstrong Relocation $1,532 165%
Ashley Furniture Stores $1,532 165%
Brimhall Foods $1,532 165%
Building Plastic $1,532 165%
Burch Food Services $1,532 165%
Cannon Motor Company $1,532 165%
Carlisle $1,532 165%
Crittenden County $1,532 165%
Davidson Hospitality $1,532 165%
Delta Industries $1,532 165%
Desoto Co Board Of Supervisors $1,532 165%
Dunn Investment Company $1,532 165%
First Choice Health Plan Of Ms $1,532 165%
First Community Bank $1,532 165%
French Camp Academy $1,532 165%
Gossett Motor Cars $1,532 165%
Hattiesburg Clinic $1,532 165%
Heartland Catfish Company $1,532 165%
Heavy Machines $1,532 165%
Hospitality Management Advisors $1,532 165%
Jas D Collier $1,532 165%
Malco Theaters $1,532 165%
Mechanical Systems $1,532 165%
Mid-South Transport $1,532 165%
Minact $1,532 165%
Patterson Warehouses $1,532 165%
Radians $1,532 165%
Rei Nation $1,532 165%
Retzer Resources $1,532 165%
Ritchey Automotive $1,532 165%
Security One $1,532 165%
Silver Tree $1,532 165%
State Systems $1,532 165%
United Tn Holdings $1,532 165%
Vaughn Electric $1,532 165%
W G Yates $1,532 165%
W W Wood Products $1,532 165%
Watkins Uiberall $1,532 165%
Y K Auto Group $1,532 165%
UnitedHealthcare $1,568 - $1,882 169%
Mpcn $1,609 174%
Employers Health Network $1,702 184%
Harding Academy $1,702 184%
Multiplan $2,227 240%
Primewell $2,383 257%
Advanced Health Systems Inc. $2,523 272%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1225 N State St, Jackson, MS 39202
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals