CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Sentara Norfolk General Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$2,912
about 3.1× the $927 Medicare rate · typically $1,085–$3,326
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,908
About the fair price
about $4 under the fair price · 3.1× Medicare
Medicare pays $927 Fair price $2,912 This hospital $2,908

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

Highest price of the 9 VA hospitals we have prices for — worth calling around.

Cheapest $813 Priciest $2,908

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

A fair price for a Upper endoscopy with biopsy is about $2,912 (about 3.1× the $927 Medicare rate). Sentara Norfolk General Hospital charges insurers about $2,908 — about the fair price. Located in Norfolk, VA.

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✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser 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 $929 - $5,790 100%
Blue Cross Blue Shieldmajor $927 - $3,131 100%
Cignamajor $4,564 493%
Humanamajor $911 98%
Sentara $903 97%

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Facility Profile & Credentials

  • Address: 600 Gresham Dr, Norfolk, VA 23507
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals