CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Leconte Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$963
about 1.0× the $927 Medicare rate · typically $953–$998
modeled estimate · not a bill or quote
What this hospital charges insurers
$963
About the fair price
1.0× Medicare
Medicare pays $927 Fair price $963 This hospital $963

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

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

Cheapest $125 Priciest $963

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 $963 (about 1.0× the $927 Medicare rate). Leconte Medical Center charges insurers about $963 — about the fair price. Located in Sevierville, 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

✓ 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 $882 - $2,610 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
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 742 Middlecreek Road, Sevierville, TN 37862
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals