CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Frye Regional Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$900
about 1.0× the $927 Medicare rate · typically $661–$1,460
modeled estimate · not a bill or quote
What this hospital charges insurers
$880
About the fair price
about $20 under the fair price · 0.9× Medicare
Medicare pays $927 Fair price $900 This hospital $880 Cash price $1,683 Hospital's list price $4,207

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 $880

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 $900 (about 1.0× the $927 Medicare rate). Frye Regional Medical Center charges insurers about $880, or about $1,683 in cash — about the fair price. Located in Hickory, 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 $414 - $5,073 45%
Blue Cross Blue Shieldmajor $542 - $778 58%
Aetnamajor $440 - $898 47%
Cignamajor $1,067 - $1,109 115%
Humanamajor $880 95%
Ambetter (Centene) $1,444 156%
AmeriHealth $553 60%
WellCare $947 102%
+ 6 smaller / regional plans $542 - $956

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Facility Profile & Credentials

  • Address: 420 N Center St, Hickory, NC 28601
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals