CMS Price Transparency Data
Upper endoscopy with biopsy
Facility: Oklahoma Heart Hospital South, LLC
Billing Code: 43239 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$1,403
about 1.5× the $927 Medicare rate · typically $800–$2,222
modeled estimate · not a bill or quote
Medicare pays $927 Fair price $1,403 Hospital's list price $1,495
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 | $872 - $927 | 94% |
| Blue Cross Blue Shieldmajor | $872 - $1,772 | 94% |
| Aetnamajor | $817 - $1,532 | 88% |
| Cignamajor | $872 - $1,047 | 94% |
| Humanamajor | $817 - $1,078 | 88% |
| Ambetter (Centene) | $1,221 | 132% |
| GEHA | $927 | 100% |
| Healthcare Highways | $374 - $897 | 40% |
| Oscar Health | $688 | 74% |
| + 8 smaller / regional plans | $688 - $2,181 |
Government programs also on file: Medicare, Military & VA.
Excludes 5 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
Other Procedures at Oklahoma Heart Hospital South, LLC
Compare: Upper endoscopy with biopsy at other OK hospitals
- Okeene Municipal Hospital · Okeene $155
- Weatherford Regional Hospital, Inc of Weatherford · Weatherford $156
- Choctaw Memorial Hospital · Hugo $175
- Ascension St John Broken Arrow · Broken Arrow $180
- Ascension St John Sapulpa · Sapulpa $302
- Ascension St John Nowata · Nowata $371
- McCurtain Memorial Hospital · Idabel $422
- Haskell Regional Hospital, Inc · Stigler $835
Insurance negotiated median for the same procedure, sorted lowest first.