CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Stanly Regional Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$287
about 0.3× the $927 Medicare rate · typically $162–$1,032
modeled estimate · not a bill or quote
What this hospital charges insurers
$297
About the fair price
about $10 over the fair price · 0.3× Medicare
Medicare pays $927 Fair price $287 This hospital $297

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

One of the lower prices — 4 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 $287 (about 0.3× the $927 Medicare rate). Stanly Regional Medical Center charges insurers about $297 — about the fair price. Located in Albemarle, 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 $131 - $939 14%
Blue Cross Blue Shieldmajor $471 51%
Aetnamajor $130 - $923 14%
Cignamajor $126 - $936 14%
Humanamajor $129 - $910 14%
Ambetter (Centene) $236 25%
AmeriHealth $134 14%
WellCare $134 14%
+ 7 smaller / regional plans $133 - $378
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: 301 Yadkin St, Albemarle, NC 28001
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals