CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Womans Hospital of Texas,The

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,622
about 1.7× the $927 Medicare rate · typically $992–$2,302
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,257
Below the fair price — a good deal
about $365 under the fair price · 1.4× Medicare
Medicare pays $927 Fair price $1,622 This hospital $1,257

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 $1,257

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 $1,622 (about 1.7× the $927 Medicare rate). Womans Hospital of Texas,The charges insurers about $1,257 — below the fair price — a good deal. Located in Houston, 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 $359 - $3,262 39%
Blue Cross Blue Shieldmajor $1,085 - $1,257 117%
Aetnamajor $423 - $2,585 46%
Cignamajor $2,957 - $3,810 319%
Humanamajor $419 - $4,690 45%
Amerigroup $352 38%
Fidelis Care $2,115 228%
Health Net $328 35%
Healthcare Highways $2,434 263%
Molina $368 40%
Oscar Health $2,979 321%
WellMed $916 99%
+ 4 smaller / regional plans $375 - $4,255
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 7600 Fannin, Houston, TX 77054
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals