CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Texas Health Presbyterian Hospital Dallas

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,006
about 1.1× the $927 Medicare rate · typically $958–$1,335
modeled estimate · not a bill or quote
What this hospital charges insurers
$957
About the fair price
about $49 under the fair price · 1.0× Medicare
Medicare pays $927 Fair price $1,006 This hospital $957 Cash price $1,220 Hospital's list price $2,033

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 $957

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 $1,006 (about 1.1× the $927 Medicare rate). Texas Health Presbyterian Hospital Dallas charges insurers about $957, or about $1,220 in cash — about the fair price. Located in Dallas, 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 - $3,751 36%
Blue Cross Blue Shieldmajor $335 - $6,567 36%
Aetnamajor $471 - $1,995 51%
Cignamajor $674 - $2,678 73%
Humanamajor $948 102%
Amerigroup $335 - $957 36%
Cigna HealthSpring $929 100%
Molina $362 - $957 39%
WellCare $352 - $1,002 38%
+ 6 smaller / regional plans $335 - $2,504
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 8200 Walnut Hill Lane, Dallas, TX 75231
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals