CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Mission Regional Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,037
about 1.1× the $927 Medicare rate · typically $691–$1,465
modeled estimate · not a bill or quote
What this hospital charges insurers
$975
About the fair price
about $62 under the fair price · 1.1× Medicare
Medicare pays $927 Fair price $1,037 This hospital $975 Cash price $906 Hospital's list price $8,409

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

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

Cheapest $100 Priciest $975

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 $1,037 (about 1.1× the $927 Medicare rate). Mission Regional Medical Center charges insurers about $975, or about $906 in cash — about the fair price. Located in Mission, TX.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $907 98%
Blue Cross Blue Shieldmajor $907 - $1,132 98%
Aetnamajor $907 98%
Cignamajor $907 - $1,733 98%
Molina $952 - $1,405 103%
WellMed $907 98%
+ 7 smaller / regional plans $907 - $1,813
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 900 South Bryan Road, Mission, TX 78572
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals