CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Columbus Regional Healthcare System

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$893

about 1.0× the $927 Medicare rate · typically $524–$1,163

modeled estimate · not a bill or quote

What this hospital charges insurers

$893

About the fair price

1.0× Medicare

Medicare pays $927 Fair price $893 This hospital $893 Cash price $1,604 Hospital's list price $2,291

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 $893

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 $893 (about 1.0× the $927 Medicare rate). Columbus Regional Healthcare System charges insurers about $893, or about $1,604 in cash — about the fair price. Located in Whiteville, 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	$512 - $1,558	55%
Blue Cross Blue Shieldmajor	$880 - $1,471	95%
Aetnamajor	$910 - $2,222	98%
Cignamajor	$924 - $2,176	100%
Humanamajor	$906	98%
Ambetter (Centene)	$1,333 - $1,551	144%
AmeriHealth	$512	55%
Devoted Health	$915	99%
Health Net	$1,519 - $1,697	164%
Molina	$588 - $1,540	63%
Oscar Health	$1,489 - $1,672	161%
UniCare	$880	95%
WellCare	$512 - $880	55%
+ 15 smaller / regional plans	$512 - $2,176

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 1,604), 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 Columbus Regional Healthcare System 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 Columbus Regional Healthcare System

Compare: Upper endoscopy with biopsy at other NC hospitals

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