CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Cherokee Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,302
about 1.4× the $927 Medicare rate · typically $1,029–$1,967
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,205
About the fair price
about $97 under the fair price · 1.3× Medicare
Medicare pays $927 Fair price $1,302 This hospital $1,205 Cash price $2,738 Hospital's list price $4,564

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

Highest price of the 9 SC hospitals we have prices for — worth calling around.

Cheapest $178 Priciest $1,205

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 $1,302 (about 1.4× the $927 Medicare rate). Cherokee Medical Center charges insurers about $1,205, or about $2,738 in cash — about the fair price. Located in Gaffney, SC.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $6,132 662%
Blue Cross Blue Shieldmajor $833 - $3,064 90%
Aetnamajor $892 96%
Cignamajor $918 - $6,802 99%
Devoted Health $883 95%
Health Net $6,917 746%
+ 1 smaller / regional plan $900

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Facility Profile & Credentials

  • Address: 1530 N Limestone St, Gaffney, SC 29340
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals