CMS Price Transparency Data
Upper endoscopy with biopsy
Facility: Houston Methodist Continuing Care Hospital
Billing Code: 43239 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$523
about 0.6× the $927 Medicare rate · typically $165–$1,619
modeled estimate · not a bill or quote
Medicare pays $927 Fair price $523 Cash price $592 Hospital's list price $1,183
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Aetna Blue Cross Blue ShieldCignaHumanaKaiser 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 | $3,894 | 420% |
| Aetnamajor | $3,081 | 332% |
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Other Procedures at Houston Methodist Continuing Care Hospital
Compare: Upper endoscopy with biopsy at other TX hospitals
- Seymour Hospital · Seymour $100
- Comanche County Medical Center · Comanche $121
- Sweeny Community Hospital · Sweeny $123
- PAM Specialty Hospital of San Antonio Medical Center · San Antonio $132
- PAM Specialty Hospital of Texarkana North · Texarkana $141
- Titus Regional Medical Center · Mount Pleasant $210
- University of Texas M. D. Anderson Cancer Center · Houston $255
- Fort Duncan Medical Center · Eagle Pass $273
Insurance negotiated median for the same procedure, sorted lowest first.