CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Barrett Hospital & Healthcare

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$241

about 0.3× the $927 Medicare rate · typically $165–$1,100

modeled estimate · not a bill or quote

What this hospital charges insurers

$239

About the fair price

about $2 under the fair price · 0.3× Medicare

Medicare pays $927 Fair price $241 This hospital $239 Cash price $438 Hospital's list price $461

How we calculate the fair BaseRate →

How this hospital compares to other MT hospitals

A typical price — 3 charge more and 5 charge less, among the 9 MT hospitals compared.

Cheapest $216 Priciest $964

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

A fair price for a Upper endoscopy with biopsy is about $241 (about 0.3× the $927 Medicare rate). Barrett Hospital & Healthcare charges insurers about $239, or about $438 in cash — about the fair price. Located in Dillon, MT.

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✓ Humana AetnaCignaKaiser 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	$124 - $564	13%
Blue Cross Blue Shieldmajor	$593	64%
Humanamajor	$124	13%
+ 6 smaller / regional plans	$216 - $263

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 438), 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 Barrett Hospital & Healthcare 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 Barrett Hospital & Healthcare

Compare: Upper endoscopy with biopsy at other MT hospitals

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