CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Baytown Medical Center LP

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,201
about 1.3× the $927 Medicare rate · typically $611–$2,001
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,058
Below the fair price — a good deal
about $143 under the fair price · 1.1× Medicare
Medicare pays $927 Fair price $1,201 This hospital $1,058 Cash price $11,753 Hospital's list price $11,753

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 $1,058

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Upper endoscopy with biopsy is about $1,201 (about 1.3× the $927 Medicare rate). Baytown Medical Center LP charges insurers about $1,058, or about $11,753 in cash — below the fair price — a good deal. Located in Baytown, TX.

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

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $3,661 - $15,144 395%
Aetnamajor $1,058 114%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1626 W Baker Road, Baytown, TX 77521
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals