CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Freestone Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$896
about 1.0× the $927 Medicare rate · typically $579–$1,457
modeled estimate · not a bill or quote
What this hospital charges insurers
$624
Below the fair price — a good deal
about $272 under the fair price · 0.7× Medicare
Medicare pays $927 Fair price $896 This hospital $624 Cash price $1,693 Hospital's list price $2,418

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 $624

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 $896 (about 1.0× the $927 Medicare rate). Freestone Medical Center charges insurers about $624, or about $1,693 in cash — below the fair price — a good deal. Located in Fairfield, 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✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $361 - $1,368 39%
Blue Cross Blue Shieldmajor $699 - $1,218 75%
Aetnamajor $624 67%
GEHA $1,368 148%
+ 6 smaller / regional plans $361 - $1,368
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 125 Newman St, Fairfield, TX 75840
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals