CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Novant Health Hilton Head Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$874
about 0.9× the $927 Medicare rate · typically $874–$970
modeled estimate · not a bill or quote
What this hospital charges insurers
$886
About the fair price
about $12 over the fair price · 1.0× Medicare
Medicare pays $927 Fair price $874 This hospital $886 Cash price $833

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 $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 $874 (about 0.9× the $927 Medicare rate). Novant Health Hilton Head Medical Center charges insurers about $886, or about $833 in cash — about the fair price. Located in Hilton Head Island, 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 $844 - $12,538 91%
Blue Cross Blue Shieldmajor $833 - $3,249 90%
Aetnamajor $844 91%
Cignamajor $869 94%
Humanamajor $844 - $1,339 91%
Clover Health $877 95%
Devoted Health $844 91%
Molina $860 - $1,476 93%
SelectHealth $886 - $1,890 96%
+ 1 smaller / regional plan $844 - $1,406

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 25 Hospital Center Blvd, Hilton Head Island, SC 29926
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals