CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Columbus Community Hospital, Inc

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,171

about 1.3× the $927 Medicare rate · typically $571–$2,725

modeled estimate · not a bill or quote

Medicare pays $927 Fair price $1,171 Hospital's list price $1

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

0 of 6 major insurers have a published price at this hospital

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
Medica	$386 - $1,034	42%

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 43239.

Insurance Before you use insurance

Call your insurance company to confirm Columbus Community Hospital, Inc is in-network.
Ask your insurer whether prior approval is required for CPT code 43239.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Other Procedures at Columbus Community Hospital, Inc

Compare: Upper endoscopy with biopsy at other NE hospitals

Insurance negotiated median for the same procedure, sorted lowest first.