CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Fort Loudoun Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$907
about 1.0× the $927 Medicare rate · typically $876–$956
modeled estimate · not a bill or quote
What this hospital charges insurers
$899
About the fair price
about $8 under the fair price · 1.0× Medicare
Medicare pays $927 Fair price $907 This hospital $899

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 $899

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 $907 (about 1.0× the $927 Medicare rate). Fort Loudoun Medical Center charges insurers about $899 — about the fair price. Located in Lenoir City, 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 $856 - $2,610 92%
Blue Cross Blue Shieldmajor $899 - $2,244 97%
Aetnamajor $899 - $1,722 97%
Cignamajor $899 - $2,329 97%
Humanamajor $882 95%
Ambetter (Centene) $1,941 209%
Devoted Health $899 97%
WellCare $899 97%
+ 1 smaller / regional plan $790
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 550 Fort Loudon Medical Center Dr, Lenoir City, TN 37772
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals