CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Burleson St Joseph Health Center

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$832
about 0.9× the $927 Medicare rate · typically $329–$1,547
modeled estimate · not a bill or quote
What this hospital charges insurers
$830
About the fair price
about $2 under the fair price · 0.9× Medicare
Medicare pays $927 Fair price $832 This hospital $830

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 $830

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 $832 (about 0.9× the $927 Medicare rate). Burleson St Joseph Health Center charges insurers about $830 — about the fair price. Located in Caldwell, 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✓ Cigna AetnaHumanaKaiser 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 - $2,124 39%
Blue Cross Blue Shieldmajor $370 - $1,297 40%
Cignamajor $3,346 361%
+ 1 smaller / regional plan $352 - $821

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Facility Profile & Credentials

  • Address: 1101 Woodson Drive, Caldwell, TX 77836
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals