CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Anmed Health

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$310

about 0.3× the $927 Medicare rate · typically $210–$581

modeled estimate · not a bill or quote

What this hospital charges insurers

$218

Below the fair price — a good deal

about $92 under the fair price · 0.2× Medicare

Medicare pays $927 Fair price $310 This hospital $218 Cash price $291 Hospital's list price $581

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

One of the lower prices — 7 of 8 other SC hospitals charge more for the same procedure.

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 $310 (about 0.3× the $927 Medicare rate). Anmed Health charges insurers about $218, or about $291 in cash — below the fair price — a good deal. Located in Anderson, SC.

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	$125 - $583	13%
Blue Cross Blue Shieldmajor	$125 - $587	13%
Aetnamajor	$125 - $528	13%
Cignamajor	$128 - $576	14%
Humanamajor	$96 - $883	10%
Ambetter (Centene)	$178 - $471	19%
Bright Health	$133 - $440	14%
Devoted Health	$125 - $336	13%
GEHA	$224 - $583	24%
Molina	$128 - $478	14%
SelectHealth	$96 - $280	10%
+ 19 smaller / regional plans	$93 - $583

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 (about 291), 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 Anmed Health 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.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Anmed Health

Compare: Upper endoscopy with biopsy at other SC hospitals

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