CMS Price Transparency Data
Upper endoscopy with biopsy
Facility: Baptist Memorial Hospital
Billing Code: 43239 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 43239
- Insurance Median: $1,417
- Cash Discount Price: $263
- vs. Medicare Baseline: 1.53x Medicare
The contracted insurance negotiated median rate for a Upper endoscopy with biopsy at Baptist Memorial Hospital is $1,417. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $263. Compared to the federal Medicare reimbursement reference rate of $926.63, this hospital’s rate is 1.53x the Medicare baseline. Located in 6019 Walnut Grove Road, Memphis, TN.
Cash / Self-Pay
$263
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,417
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$926.63
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $926.63 (100%)
Cash / Self-Pay: $263 (28%)
Insurance Median: $1,417 (153%)
Cash: $263 (28% of Medicare)
Ins. Median: $1,417 (153% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $926.63 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $326 - $901 | 35% |
| Ppo Holdings | $477 | 51% |
| Blue Cross Blue Shield | $495 - $3,775 | 53% |
| Cooper Realty | $502 | 54% |
| Magnolia Regional Health Center | $502 | 54% |
| Littler | $627 | 68% |
| Molina | $627 - $1,588 | 68% |
| Ppo Plus | $627 - $1,003 | 68% |
| First Choice Health Plan Of Ms | $665 - $1,545 | 72% |
| Humana | $677 - $1,115 | 73% |
| Novasys | $727 - $901 | 78% |
| Access Health Services | $752 - $1,717 | 81% |
| Butler Snow | $752 | 81% |
| UnitedHealthcare | $752 | 81% |
| Wellpoint | $816 - $901 | 88% |
| Triwest | $824 | 89% |
| Vaccn | $859 | 93% |
| Veterans Evaluation Services | $859 | 93% |
| Devoted Health | $876 | 95% |
| American Health Plan | $901 | 97% |
| Shared Health | $901 | 97% |
| Tribute Health Plan | $901 | 97% |
| Multiplan | $940 - $2,227 | 101% |
| Qca | $940 | 101% |
| Christian Health Aid | $1,003 | 108% |
| St. Jude Children'S Hospital | $1,129 | 122% |
| Oscar | $1,134 - $4,722 | 122% |
| Rhodes College | $1,374 | 148% |
| Arlington Community Schools | $1,417 | 153% |
| Bartlett City Schools | $1,417 | 153% |
| City Of Bartlett | $1,417 | 153% |
| City Of Lakeland | $1,417 | 153% |
| Collierville Schools | $1,417 | 153% |
| Eas Mssc Schools | $1,417 | 153% |
| Lakeland School System | $1,417 | 153% |
| Town Of Collierville | $1,417 | 153% |
| Magnolia Tn | $1,449 | 156% |
| First State Bank Trust | $1,459 | 157% |
| Armstrong Relocation | $1,545 | 167% |
| Ashley Furniture Stores | $1,545 | 167% |
| Brimhall Foods | $1,545 | 167% |
| Building Plastic | $1,545 | 167% |
| Burch Food Services | $1,545 | 167% |
| Cannon Motor Company | $1,545 | 167% |
| Carlisle | $1,545 | 167% |
| Crittenden County | $1,545 | 167% |
| Davidson Hospitality | $1,545 | 167% |
| Desoto Co Board Of Supervisors | $1,545 | 167% |
| Dunn Investment Company | $1,545 | 167% |
| First Community Bank | $1,545 | 167% |
| French Camp Academy | $1,545 | 167% |
| Gossett Motor Cars | $1,545 | 167% |
| Hattiesburg Clinic | $1,545 | 167% |
| Heartland Catfish Company | $1,545 | 167% |
| Heavy Machines | $1,545 | 167% |
| Hollowell Industries | $1,545 | 167% |
| Hospitality Management Advisors | $1,545 | 167% |
| Jas D Collier | $1,545 | 167% |
| Malco Theaters | $1,545 | 167% |
| Mechanical Systems | $1,545 | 167% |
| Mid-South Transport | $1,545 | 167% |
| Patterson Warehouses | $1,545 | 167% |
| Radians | $1,545 | 167% |
| Rei Nation | $1,545 | 167% |
| Retzer Resources | $1,545 | 167% |
| Ritchey Automotive | $1,545 | 167% |
| Security One | $1,545 | 167% |
| Silver Tree | $1,545 | 167% |
| State Systems | $1,545 | 167% |
| United Tn Holdings | $1,545 | 167% |
| Vaughn Electric | $1,545 | 167% |
| W G Yates | $1,545 | 167% |
| W W Wood Products | $1,545 | 167% |
| Watkins Uiberall | $1,545 | 167% |
| Y K Auto Group | $1,545 | 167% |
| Employers Health Network | $1,717 | 185% |
| Harding Academy | $1,717 | 185% |
| Mpcn | $1,717 | 185% |