CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Vidant Duplin Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$904
about 1.0× the $927 Medicare rate · typically $551–$1,345
modeled estimate · not a bill or quote
What this hospital charges insurers
$897
About the fair price
about $7 under the fair price · 1.0× Medicare
Medicare pays $927 Fair price $904 This hospital $897 Cash price $2,221 Hospital's list price $4,191

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 $897

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 $904 (about 1.0× the $927 Medicare rate). Vidant Duplin Hospital charges insurers about $897, or about $2,221 in cash — about the fair price. Located in Kenansville, 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 $897 - $2,209 97%
Blue Cross Blue Shieldmajor $880 - $1,927 95%
Aetnamajor $924 - $2,892 100%
Cignamajor $2,934 - $4,149 317%
Humanamajor $880 95%
AmeriHealth $1,014 109%
WellCare $1,009 109%
+ 4 smaller / regional plans $924 - $3,121
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

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 401 N Main St, Kenansville, NC 28349
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals