Upper endoscopy with biopsy
Facility: Dr Dan C Trigg Memorial Hospital
Billing Code: 43239 (CPT)
On the higher side — 5 of 7 other NM hospitals charge less.
Black dot = this hospital, among the 8 NM hospitals with a price for this procedure. Full list below.
⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.
A fair price for a Upper endoscopy with biopsy is about $681 (about 0.7× the $927 Medicare rate). Dr Dan C Trigg Memorial Hospital charges insurers about $1,037, or about $3,216 in cash — above the fair price. Located in Tucumcari, NM.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $681. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
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 | $976 | 105% |
| Blue Cross Blue Shieldmajor | $985 - $1,658 | 106% |
| Aetnamajor | $995 | 107% |
| Humanamajor | $1,033 | 111% |
| Molina | $1,014 | 109% |
| Presbyterian | $947 - $3,710 | 102% |
| + 1 smaller / regional plan | $1,042 |
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.
Other Procedures at Dr Dan C Trigg Memorial Hospital
Compare: Upper endoscopy with biopsy at other NM hospitals
- Gila Regional Medical Center · Silver City $526
- UNM Hospital · Albuquerque $893
- Eastern New Mexico Medical Center · Roswell $928
- Mountain View Regional Medical Center · Las Cruces $928
- Covenant Health Hobbs Hospital · Hobbs $945
- Carlsbad Medical Center · Carlsbad $1,098
- Presbyterian Hospital · Albuquerque $1,571
Insurance negotiated median for the same procedure, sorted lowest first.