CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Baptist Memorial Hospital Union City

Billing Code: 43239 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 43239
  • Insurance Median: $1,541
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.66x Medicare
The contracted insurance negotiated median rate for a Upper endoscopy with biopsy at Baptist Memorial Hospital Union City is $1,541. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $926.63, this hospital’s rate is 1.66x the Medicare baseline. Located in 1201 Bishop St, Po Box 310, Union City, TN.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,541

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%)
Insurance Median: $1,541 (166%)
Ins. Median: $1,541 (166% 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

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Blue Cross Blue Shield $495 - $3,775 53%
Wellpoint $745 - $899 80%
Triwest $822 89%
Vaccn $856 92%
Veterans Evaluation Services $856 92%
Humana $865 - $899 93%
Aetna $899 97%
American Health Plan $899 97%
Shared Health $899 97%
Cigna $1,156 - $2,393 125%
Arlington Community Schools $1,413 152%
Bartlett City Schools $1,413 152%
City Of Bartlett $1,413 152%
City Of Lakeland $1,413 152%
Collierville Schools $1,413 152%
Eas Mssc Schools $1,413 152%
Lakeland School System $1,413 152%
Town Of Collierville $1,413 152%
Magnolia Tn $1,445 156%
First State Bank Trust $1,455 157%
Armstrong Relocation $1,541 166%
Ashley Furniture Stores $1,541 166%
Brimhall Foods $1,541 166%
Building Plastic $1,541 166%
Burch Food Services $1,541 166%
Cannon Motor Company $1,541 166%
Carlisle $1,541 166%
Crittenden County $1,541 166%
Davidson Hospitality $1,541 166%
Desoto Co Board Of Supervisors $1,541 166%
Dunn Investment Company $1,541 166%
First Choice Health Plan Of Ms $1,541 166%
First Community Bank $1,541 166%
French Camp Academy $1,541 166%
Gossett Motor Cars $1,541 166%
Hattiesburg Clinic $1,541 166%
Heartland Catfish Company $1,541 166%
Heavy Machines $1,541 166%
Hollowell Industries $1,541 166%
Hospitality Management Advisors $1,541 166%
Jas D Collier $1,541 166%
Malco Theaters $1,541 166%
Mechanical Systems $1,541 166%
Mid-South Transport $1,541 166%
Patterson Warehouses $1,541 166%
Radians $1,541 166%
Rei Nation $1,541 166%
Retzer Resources $1,541 166%
Ritchey Automotive $1,541 166%
Security One $1,541 166%
Silver Tree $1,541 166%
State Systems $1,541 166%
United Tn Holdings $1,541 166%
Vaughn Electric $1,541 166%
W G Yates $1,541 166%
W W Wood Products $1,541 166%
Watkins Uiberall $1,541 166%
Y K Auto Group $1,541 166%
Employers Health Network $1,712 185%
Harding Academy $1,712 185%
Oscar $3,582 387%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1201 Bishop St, Po Box 310, Union City, TN 38261
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals