CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Haywood County Community Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,050

about 1.1× the $927 Medicare rate · typically $606–$1,350

modeled estimate · not a bill or quote

What this hospital charges insurers

$553

Below the fair price — a good deal

about $497 under the fair price · 0.6× Medicare

Medicare pays $927 Fair price $1,050 This hospital $553 Cash price $754 Hospital's list price $1,886

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

On the higher side — 6 of 8 other TN hospitals charge less.

Cheapest $125 Priciest $823

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 $1,050 (about 1.1× the $927 Medicare rate). Haywood County Community Hospital charges insurers about $553, or about $754 in cash — below the fair price — a good deal. Located in Brownsville, TN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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	$46 - $2,727	5%
Blue Cross Blue Shieldmajor	$51 - $2,291	6%
Humanamajor	$428	46%
+ 3 smaller / regional plans	$428 - $984

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 754), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 43239.

Insurance Before you use insurance

Call your insurance company to confirm Haywood County Community Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 43239.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Haywood County Community Hospital

Compare: Upper endoscopy with biopsy at other TN hospitals

Insurance negotiated median for the same procedure, sorted lowest first.