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CMS Price Transparency Data Hospital file updated: 3/23/2026

Upper endoscopy with biopsy

Facility: Smyth County Community Hospital

Billing Code: 43239 (CPT)

Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Good Deal · Below Fair Market
$1,107Fair BaseRate (0.83× Market)
Position vs. 1.00× Fair Price17% Below Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

This hospital's typical commercial price is $916 compared to the $1,107 fair price benchmark.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).86/100 · Verified
86/100Hover Any Check Below to See How Prices Were Audited
File Completeness90Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic88Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment86Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing83Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount84Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.Regional Quality Benchmark
CMS Star Rating3/5 StarsOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety Score60/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER WaitNo ER DataMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

3-Star CMS clinical quality rating paired with 0.83× fair market pricing.

The BaseRate · fair price high confidence
A fair price for this
$1,107
about 1.2× the $927 Medicare rate · typically $932–$1,550
modeled estimate · not a bill or quote
What this hospital charges insurers
$916
Below the fair price — a good deal
about $191 under the fair price · 1.0× Medicare
Medicare pays $927 Fair price $1,107 This hospital $916 Cash price $385 Hospital's list price $2,564

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

On the higher side — 7 of 8 other VA hospitals charge less.

Cheapest $813 Priciest $920

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 $1,107 (about 1.2× the $927 Medicare rate). Smyth County Community Hospital charges insurers about $916, or about $385 in cash — below the fair price — a good deal. Located in Marion, VA.

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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumana 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 $171 - $1,278 18%
Blue Cross Blue Shieldmajor $311 - $2,564 34%
Aetnamajor $885 - $2,179 96%
Cignamajor $929 100%
Humanamajor $885 96%
Ambetter (Centene) $1,929 208%
Amerigroup $885 - $2,564 96%
Devoted Health $929 100%
Molina $920 - $1,329 99%
Sentara $713 - $1,278 77%
+ 3 smaller / regional plans $885 - $2,564
Government programs also on file: Medicare.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 245 Medical Park Drive, Marion, VA 24354
  • CMS Rating: 3 / 5 Stars
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals

Other Procedures at Smyth County Community Hospital

Compare: Upper endoscopy with biopsy at other VA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 36.3%

Audit a Bill or Quote at Smyth County Community Hospital (Zero PHI Required)

CMS CCN: 490038
CPT 43239
Fair BaseRate™ $1,107
Medicare Rate $927
Self-Pay Cash $385
Insurer Median $916
Pre-filled with Smyth County Community Hospital’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $931 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $931

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $931).

Step 2 · Cash vs. Insurance Arbitrage Save $2,179 Paying Cash

Self-Pay Cash Rate ($385) Beats Your Bill

Smyth County Community Hospital's published 45 CFR § 180 self-pay cash rate is $385 (vs. $916 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$1,457 Above Fair BaseRate

Negotiate Toward $1,107 Fair BaseRate ($927 Medicare)

Your bill ($2,564) is $1,457 above the denoised Fair BaseRate ($1,107) and 2.8× the $927 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.
CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

45 CFR § 180 Primary-Source Lineage & Federal Verification Verified CMS CCN 490038

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (540794913_smyth-county-community-hospital_standardcharges.zip!540794913_smyth-county-community-hospital_standardcharges.csv) Verify on CMS Medicare.gov (CCN 490038) ↗ CMS HCRIS Cost Reports ↗
Published MRF File540794913_smyth-county-community-hospital_standardcharges.zip!540794913_smyth-county-community-hospital_standardcharges.csv
Publication / Vintage3/23/2026 · 4.35 MB
Validated Rate Rows734,269 (CMS v3.0.0)
File Integrity Digestd1b25c69ce5a86e8c02d…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy