CMS Price Transparency Data
Upper endoscopy with biopsy
Facility: Memorial Hermann Surgical Hospital Kingwood
Billing Code: 43239 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$1,277
about 1.4× the $927 Medicare rate · typically $763–$2,107
modeled estimate · not a bill or quote
Medicare pays $927 Fair price $1,277 Cash price $406 Hospital's list price $1,160
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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 | $2,554 - $2,989 | 276% |
| Aetnamajor | $1,719 - $8,450 | 186% |
| Cignamajor | $2,297 | 248% |
| Humanamajor | $561 - $2,628 | 61% |
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Other Procedures at Memorial Hermann Surgical Hospital Kingwood
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.