CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: CHI St Lukes Health Memorial Lufkin

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$939
about 1.0× the $927 Medicare rate · typically $881–$1,392
modeled estimate · not a bill or quote
What this hospital charges insurers
$886
About the fair price
about $53 under the fair price · 1.0× Medicare
Medicare pays $927 Fair price $939 This hospital $886

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 $886

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 $939 (about 1.0× the $927 Medicare rate). CHI St Lukes Health Memorial Lufkin charges insurers about $886 — about the fair price. Located in Lufkin, 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 $352 - $1,014 38%
Blue Cross Blue Shieldmajor $363 - $1,329 39%
Aetnamajor $886 96%
Cignamajor $359 - $2,957 39%
Humanamajor $886 96%
+ 6 smaller / regional plans $352 - $2,398

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Facility Profile & Credentials

  • Address: 1201 West Frank Street, Lufkin, TX 75901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals