CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Hill Country Memorial Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,524
about 1.6× the $927 Medicare rate · typically $941–$1,890
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,548
About the fair price
about $24 over the fair price · 1.7× Medicare
Medicare pays $927 Fair price $1,524 This hospital $1,548

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 $1,548

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 $1,524 (about 1.6× the $927 Medicare rate). Hill Country Memorial Hospital charges insurers about $1,548 — about the fair price. Located in Fredericksburg, 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 $335 - $3,917 36%
Blue Cross Blue Shieldmajor $1,210 - $1,902 131%
Aetnamajor $423 - $2,936 46%
Cignamajor $3,031 - $4,014 327%
Healthcare Highways $3,041 328%
Molina $368 40%
WellCare $957 103%
+ 1 smaller / regional plan $2,613
Government programs also on file: Medicaid.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1020 South State Highway 16, Fredericksburg, TX 78624
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals