CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: University of Texas M. D. Anderson Cancer Center

Billing Code: 43239 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$532
about 0.6× the $927 Medicare rate · typically $149–$1,567
modeled estimate · not a bill or quote
What this hospital charges insurers
$255
Below the fair price — a good deal
about $277 under the fair price · 0.3× Medicare
Medicare pays $927 Fair price $532 This hospital $255 Hospital's list price $2,371

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

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

Cheapest $100 Priciest $300

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Upper endoscopy with biopsy is about $532 (about 0.6× the $927 Medicare rate). University of Texas M. D. Anderson Cancer Center charges insurers about $255 — below the fair price — a good deal. Located in Houston, TX.

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 $201 - $2,469 22%
Blue Cross Blue Shieldmajor $241 - $2,370 26%
Aetnamajor $303 - $2,469 33%
Cignamajor $310 - $2,469 33%
Humanamajor $869 - $2,535 94%
+ 14 smaller / regional plans $101 - $2,798
Government programs also on file: Medicare, Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1515 Holcombe Blvd, Houston, TX 77030
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL