CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: El Campo Memorial Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$436
about 0.5× the $927 Medicare rate · typically $319–$1,108
modeled estimate · not a bill or quote
What this hospital charges insurers
$420
About the fair price
about $16 under the fair price · 0.5× Medicare
Medicare pays $927 Fair price $436 This hospital $420 Cash price $1,703 Hospital's list price $1,703

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 $420

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Upper endoscopy with biopsy is about $436 (about 0.5× the $927 Medicare rate). El Campo Memorial Hospital charges insurers about $420, or about $1,703 in cash — about the fair price. Located in El Campo, 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 $89 - $938 10%
Blue Cross Blue Shieldmajor $234 - $637 25%
Aetnamajor $145 - $2,203 16%
Amerigroup $145 - $336 16%
Molina $89 - $938 10%
+ 2 smaller / regional plans $93 - $984
Government programs also on file: Military & VA.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 303 Sandy Corner Rd, El Campo, TX 77437
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals