CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: North Carolina Baptist Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$882
about 1.0× the $927 Medicare rate · typically $867–$1,055
modeled estimate · not a bill or quote
What this hospital charges insurers
$908
About the fair price
about $26 over the fair price · 1.0× Medicare
Medicare pays $927 Fair price $882 This hospital $908

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

Highest price of the 9 NC hospitals we have prices for — worth calling around.

Cheapest $133 Priciest $908

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

A fair price for a Upper endoscopy with biopsy is about $882 (about 1.0× the $927 Medicare rate). North Carolina Baptist Hospital charges insurers about $908 — about the fair price. Located in Winston-Salem, NC.

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 $908 - $4,094 98%
Blue Cross Blue Shieldmajor $908 98%
Aetnamajor $908 98%
Cignamajor $908 98%
Humanamajor $917 99%
Devoted Health $908 98%
WellCare $908 98%
+ 3 smaller / regional plans $908 - $1,044
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: Medical Center Boulevard, Winston-Salem, NC 27157
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals