CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: MUSC Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$988
about 1.1× the $927 Medicare rate · typically $890–$1,724
modeled estimate · not a bill or quote
What this hospital charges insurers
$856
Below the fair price — a good deal
about $132 under the fair price · 0.9× Medicare
Medicare pays $927 Fair price $988 This hospital $856

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

A typical price — 5 charge more and 3 charge less, among the 9 SC hospitals compared.

Cheapest $178 Priciest $886

Black dot = this hospital, among the 9 SC hospitals with a price for this procedure. Full list below.

A fair price for a Upper endoscopy with biopsy is about $988 (about 1.1× the $927 Medicare rate). MUSC Medical Center charges insurers about $856 — below the fair price — a good deal. Located in Charleston, SC.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $468 - $1,260 51%
Aetnamajor $844 91%
Clover Health $860 93%
Molina $928 100%
+ 1 smaller / regional plan $907

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Facility Profile & Credentials

  • Address: 169 Ashley Ave, Charleston, SC 29425
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals