CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Methodist Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,314
about 1.4× the $927 Medicare rate · typically $928–$1,528
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,377
About the fair price
about $63 over the fair price · 1.5× Medicare
Medicare pays $927 Fair price $1,314 This hospital $1,377

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 $1,377

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 $1,314 (about 1.4× the $927 Medicare rate). Methodist Hospital charges insurers about $1,377 — about the fair price. Located in San Antonio, 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 $335 - $3,917 36%
Blue Cross Blue Shieldmajor $1,210 - $1,957 131%
Aetnamajor $423 - $2,936 46%
Cignamajor $3,031 - $4,014 327%
Humanamajor $419 45%
Amerigroup $370 40%
Fidelis Care $2,115 228%
Healthcare Highways $3,041 328%
Molina $368 40%
Oscar Health $1,377 149%
WellCare $938 - $957 101%
+ 5 smaller / regional plans $1,002 - $3,571
Government programs also on file: Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 7700 Floyd Curl Dr, San Antonio, TX 78229
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals