CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Limestone Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$729
about 0.8× the $927 Medicare rate · typically $156–$1,653
modeled estimate · not a bill or quote
What this hospital charges insurers
$743
About the fair price
about $14 over the fair price · 0.8× Medicare
Medicare pays $927 Fair price $729 This hospital $743 Cash price $1,067 Hospital's list price $1,778

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 $743

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 $729 (about 0.8× the $927 Medicare rate). Limestone Medical Center charges insurers about $743, or about $1,067 in cash — about the fair price. Located in Groesbeck, 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 $406 - $1,333 44%
Blue Cross Blue Shieldmajor $406 - $743 44%
Aetnamajor $1,119 - $1,725 121%
Cignamajor $979 - $1,510 106%
Humanamajor $406 - $1,618 44%
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 701 McClintic Drive, Groesbeck, TX 76642
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals