CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Simpson General Hospital Cah

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$666
about 0.7× the $927 Medicare rate · typically $280–$1,638
modeled estimate · not a bill or quote
What this hospital charges insurers
$630
About the fair price
about $36 under the fair price · 0.7× Medicare
Medicare pays $927 Fair price $666 This hospital $630 Cash price $2,850 Hospital's list price $4,071

How we calculate the fair BaseRate →

How this hospital compares to other MS hospitals

On the higher side — 6 of 8 other MS hospitals charge less.

Cheapest $86 Priciest $782

Black dot = this hospital, among the 9 MS hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Upper endoscopy with biopsy is about $666 (about 0.7× the $927 Medicare rate). Simpson General Hospital Cah charges insurers about $630, or about $2,850 in cash — about the fair price. Located in Mendenhall, MS.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $598 - $3,257 65%
Blue Cross Blue Shieldmajor $2,208 238%
Aetnamajor $2,443 264%
Ambetter (Centene) $1,588 171%
HealthPartners $3,257 351%
+ 4 smaller / regional plans $630 - $3,460

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1842 Simpson Highway 149, Mendenhall, MS 39114
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals