CMS Price Transparency Data
Upper endoscopy with biopsy
Facility: North Central Surgical Center LLP
Billing Code: 43239 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$1,002
about 1.1× the $927 Medicare rate · typically $783–$1,693
modeled estimate · not a bill or quote
Medicare pays $927 Fair price $1,002 Cash price $1,840 Hospital's list price $3,066
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 | $1,659 - $2,872 | 179% |
| Blue Cross Blue Shieldmajor | $1,686 - $8,427 | 182% |
| Cignamajor | $3,303 - $4,173 | 356% |
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Other Procedures at North Central Surgical Center LLP
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.