CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Hugh Chatham Memorial Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$275
about 0.3× the $927 Medicare rate · typically $210–$915
modeled estimate · not a bill or quote
What this hospital charges insurers
$210
Below the fair price — a good deal
about $65 under the fair price · 0.2× Medicare
Medicare pays $927 Fair price $275 This hospital $210 Cash price $346 Hospital's list price $532

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

One of the lower prices — 7 of 8 other NC hospitals charge more for the same procedure.

Cheapest $133 Priciest $358

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 $275 (about 0.3× the $927 Medicare rate). Hugh Chatham Memorial Hospital charges insurers about $210, or about $346 in cash — below the fair price — a good deal. Located in Elkin, 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✓ 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 $130 - $802 14%
Blue Cross Blue Shieldmajor $180 - $802 19%
Humanamajor $802 87%
+ 1 smaller / regional plan $130 - $337

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Facility Profile & Credentials

  • Address: 180 Parkwood Dr, Elkin, NC 28621
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals