CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Christus St Michael Health System

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$921
about 1.0× the $927 Medicare rate · typically $762–$1,152
modeled estimate · not a bill or quote
What this hospital charges insurers
$920
About the fair price
about $1 under the fair price · 1.0× Medicare
Medicare pays $927 Fair price $921 This hospital $920

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 $920

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 $921 (about 1.0× the $927 Medicare rate). Christus St Michael Health System charges insurers about $920 — about the fair price. Located in Texarkana, 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 $361 - $4,537 39%
Blue Cross Blue Shieldmajor $857 - $2,083 92%
Aetnamajor $920 - $5,706 99%
Cignamajor $6,367 687%
Humanamajor $920 - $2,042 99%
Amerigroup $335 - $994 36%
Cigna HealthSpring $920 99%
Healthcare Highways $4,259 460%
Molina $352 - $920 38%
+ 18 smaller / regional plans $297 - $4,650
Government programs also on file: Medicare, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2600 St Michael Dr, Texarkana, TX 75503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals