CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Betsy Johnson Regional Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$916
about 1.0× the $927 Medicare rate · typically $750–$1,211
modeled estimate · not a bill or quote
What this hospital charges insurers
$917
About the fair price
about $1 over the fair price · 1.0× Medicare
Medicare pays $927 Fair price $916 This hospital $917 Cash price $663 Hospital's list price $1,105

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 $917

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 $916 (about 1.0× the $927 Medicare rate). Betsy Johnson Regional Hospital charges insurers about $917, or about $663 in cash — about the fair price. Located in Dunn, NC.

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✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser 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 $899 - $944 97%
Aetnamajor $917 - $2,246 99%
Humanamajor $899 - $988 97%
Ambetter (Centene) $1,348 - $1,797 145%
WellCare $899 97%
+ 7 smaller / regional plans $899 - $988
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 800 Tilghman Dr, Dunn, NC 28334
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals