CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: CHI St Lukes Health Memorial San Augustine

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,119
about 1.2× the $927 Medicare rate · typically $500–$1,768
modeled estimate · not a bill or quote
What this hospital charges insurers
$799
Below the fair price — a good deal
about $320 under the fair price · 0.9× Medicare
Medicare pays $927 Fair price $1,119 This hospital $799

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 $799

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 $1,119 (about 1.2× the $927 Medicare rate). CHI St Lukes Health Memorial San Augustine charges insurers about $799 — below the fair price — a good deal. Located in San Augustine, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $335 - $931 36%
Blue Cross Blue Shieldmajor $335 - $1,396 36%
Aetnamajor $799 86%
Cignamajor $342 - $2,957 37%
Humanamajor $799 86%
+ 5 smaller / regional plans $335 - $2,398

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Facility Profile & Credentials

  • Address: 511 Hospital St, San Augustine, TX 75972
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Rural Emergency Hospital