CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Northwest Texas Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$567
about 0.6× the $927 Medicare rate · typically $323–$1,409
modeled estimate · not a bill or quote
What this hospital charges insurers
$567
About the fair price
0.6× Medicare
Medicare pays $927 Fair price $567 This hospital $567 Cash price $2,495 Hospital's list price $6,237

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 $567

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Upper endoscopy with biopsy is about $567 (about 0.6× the $927 Medicare rate). Northwest Texas Hospital charges insurers about $567, or about $2,495 in cash — about the fair price. Located in Amarillo, TX.

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✓ Aetna✓ Cigna Blue Cross Blue ShieldHumanaKaiser 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 $3,496 377%
Aetnamajor $1,372 148%
Cignamajor $2,214 239%
Amerigroup $567 61%
Baylor Scott & White $1,164 126%
Molina $275 30%
+ 4 smaller / regional plans $284 - $1,971
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: 1501 S Coulter St, Amarillo, TX 79106
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals