Upper endoscopy with biopsy
Facility: Cumberland Medical Center
Billing Code: 43239 (CPT)
Highest price of the 9 TN hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 TN hospitals with a price for this procedure. Full list below.
A fair price for a Upper endoscopy with biopsy is about $961 (about 1.0× the $927 Medicare rate). Cumberland Medical Center charges insurers about $963 — about the fair price. Located in Crossville, TN.
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
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 | $882 - $2,604 | 95% |
| Blue Cross Blue Shieldmajor | $963 - $2,244 | 104% |
| Aetnamajor | $963 - $1,722 | 104% |
| Cignamajor | $963 - $2,329 | 104% |
| Humanamajor | $944 | 102% |
| Ambetter (Centene) | $1,941 | 209% |
| Devoted Health | $963 | 104% |
| WellCare | $963 | 104% |
| + 1 smaller / regional plan | $846 |
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.
Other Procedures at Cumberland Medical Center
Compare: Upper endoscopy with biopsy at other TN hospitals
- Metro Nashville General Hospital · Nashville $125
- Rhea Medical Center · Dayton $258
- Williamson Medical Center · Franklin $361
- Erlanger Medical Center · Chattanooga $369
- St Jude Childrens Research Hospital · Memphis $481
- University Health System, Inc · Knoxville $495
- Haywood County Community Hospital · Brownsville $553
- Johnson County Community Hospital · Mountain City $589
Insurance negotiated median for the same procedure, sorted lowest first.