CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Stonesprings Hospital Center

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$2,481
about 2.7× the $927 Medicare rate · typically $1,050–$3,470
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,747
About the fair price
about $266 over the fair price · 3.0× Medicare
Medicare pays $927 Fair price $2,481 This hospital $2,747

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 $2,747

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 $2,481 (about 2.7× the $927 Medicare rate). Stonesprings Hospital Center charges insurers about $2,747 — about the fair price. Located in Dulles, VA.

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 $4,382 473%
Blue Cross Blue Shieldmajor $2,395 - $2,747 258%
Cignamajor $2,497 - $3,273 269%
Bright Health $3,105 335%
Sentara $5,124 553%
+ 1 smaller / regional plan $2,550

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Facility Profile & Credentials

  • Address: 24440 Stone Springs Boulevard, Dulles, VA 20166
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals