CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Covenant Hospital Levelland

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,636

about 1.8× the $927 Medicare rate · typically $1,330–$2,460

modeled estimate · not a bill or quote

Medicare pays $927 Fair price $1,636 Cash price $955 Hospital's list price $2,273

How we calculate the fair BaseRate →

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	$961	104%
Blue Cross Blue Shieldmajor	$884 - $4,338	95%
Aetnamajor	$911 - $4,837	98%
Baylor Scott & White	$3,168 - $3,970	342%
+ 1 smaller / regional plan	$957

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 955), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 43239.

Insurance Before you use insurance

Call your insurance company to confirm Covenant Hospital Levelland is in-network.
Ask your insurer whether prior approval is required for CPT code 43239.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Covenant Hospital Levelland

Compare: Upper endoscopy with biopsy at other TX hospitals

Insurance negotiated median for the same procedure, sorted lowest first.