▸ Compare · PriceTransparency
Upper GI endoscopy with biopsy
CPT 43239 · negotiated-rate distribution across hospitals in TN
Hospitals
15
Min
$124.97
Median
$897.9
Max
$1,239
Range multiplier
9.9×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Cigna | 13 | 82 | $124.97 | $1,259.53 | $3,638 | 29.1× |
| Blue Cross Blue Shield | 12 | 67 | $363 | $898.91 | $2,244 | 6.2× |
| UnitedHealthcare | 12 | 63 | $68.73 | $898.91 | $2,610 | 38.0× |
| Medicare | 9 | 31 | $124.97 | $888.92 | $942.8 | 7.5× |
| Humana | 12 | 26 | $124.97 | $884.96 | $897.9 | 7.2× |
| Aetna | 11 | 22 | $124.97 | $915.86 | $1,722.16 | 13.8× |
| Medicare Advantage | 8 | 18 | $858.52 | $897.9 | $897.9 | 1.0× |
| Ambetter | 11 | 18 | $174.96 | $1,167.27 | $1,941 | 11.1× |
| healthspring mcr replacement | 7 | 14 | $884.96 | $897.9 | $897.9 | 1.0× |
| smart health | 7 | 14 | $1,238.94 | $1,257.06 | $1,257.06 | 1.0× |
| point comfort underwriters | 7 | 14 | $796.46 | $808.11 | $808.11 | 1.0× |
| amerigroup mcr replacement | 7 | 14 | $884.96 | $897.9 | $924.84 | 1.0× |
| optum va | 7 | 14 | $884.96 | $897.9 | $897.9 | 1.0× |
| nhc advantage | 7 | 14 | $884.96 | $897.9 | $897.9 | 1.0× |
| centurion of tn | 7 | 14 | $884.96 | $897.9 | $897.9 | 1.0× |
| Medicaid | 1 | 12 | $297 | $671.62 | $688.35 | 2.3× |
| ascension complete | 6 | 12 | $884.96 | $891.43 | $897.9 | 1.0× |
| wellpoint | 3 | 9 | $898.91 | $898.91 | $1,391 | 1.5× |
| farm bureau | 4 | 7 | $127.47 | $790.13 | $790.13 | 6.2× |
| TRICARE | 5 | 7 | $810.88 | $856.1 | $861.98 | 1.1× |
| Oscar Health | 7 | 7 | $1,238.94 | $1,257.06 | $1,257.06 | 1.0× |
| Self-Pay (Cash) | 7 | 7 | $884.96 | $897.9 | $897.9 | 1.0× |
| triwest va pccc | 3 | 6 | $897.9 | $897.9 | $897.9 | 1.0× |
| devoted health | 3 | 6 | $898.91 | $898.91 | $898.91 | 1.0× |
| Molina | 1 | 4 | $671.62 | $755.58 | $839.53 | 1.3× |
| WellCare | 4 | 4 | $124.97 | $898.91 | $898.91 | 7.2× |
| community plan | 4 | 4 | $372.8 | $372.8 | $372.8 | 1.0× |
| correctional medical services | 3 | 3 | $60 | $60 | $60 | 1.0× |
| medsave usa | 3 | 3 | $80 | $80 | $80 | 1.0× |
| national provider network | 3 | 3 | $80 | $80 | $80 | 1.0× |
| novanet | 3 | 3 | $75 | $75 | $75 | 1.0× |
| beech street | 3 | 3 | $85 | $85 | $85 | 1.0× |
| optum | 3 | 3 | $856.1 | $856.1 | $856.1 | 1.0× |
| direct care america | 3 | 3 | $80 | $80 | $80 | 1.0× |
| ehn | 3 | 3 | $45 | $45 | $45 | 1.0× |
| galaxy health network | 3 | 3 | $90 | $90 | $90 | 1.0× |
| usa managed care organization | 3 | 3 | $70 | $70 | $70 | 1.0× |
| community services network | 3 | 3 | $65 | $65 | $65 | 1.0× |
| initial group | 3 | 3 | $88 | $88 | $88 | 1.0× |
| ccn managed care | 3 | 3 | $85 | $85 | $85 | 1.0× |
| transplant optum tenncare [350013] | 1 | 2 | $732 | $732 | $732 | 1.0× |
| americhoice mcr replacement | 1 | 2 | $844.03 | $866.48 | $888.92 | 1.1× |
| va hospital [600005] | 1 | 2 | $858.52 | $858.52 | $858.52 | 1.0× |
| american health advantage mcr adv [450117] | 1 | 2 | $858.52 | $858.52 | $858.52 | 1.0× |
| generic hospice vbid [10940000101] | 1 | 2 | $858.52 | $858.52 | $858.52 | 1.0× |
| langston performance health [100405] | 1 | 2 | $3,463 | $3,463 | $3,463 | 1.0× |
| carecentrix [450200] | 1 | 2 | $858.52 | $858.52 | $858.52 | 1.0× |
| devoted health [450111] | 1 | 2 | $884.28 | $884.28 | $884.28 | 1.0× |
| amerigroup | 2 | 2 | $109.35 | $472.2 | $835.05 | 7.6× |
| naphcare | 1 | 1 | $187.46 | $187.46 | $187.46 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| ROANE COUNTY MEDICAL CENTER | HARRIMAN | TN | 24 | — | — | $45 | $898.91 | $2,610 |
| MORRISTOWN-HAMBLEN HOSPITAL | MORRISTOWN | TN | 24 | — | — | $45 | $898.91 | $2,610 |
| FORT LOUDOUN MEDICAL CENTER | LENOIR CITY | TN | 24 | — | — | $45 | $898.91 | $2,610 |
| SAINT THOMAS MIDTOWN HOSPITAL | NASHVILLE | TN | 21 | — | — | $808.11 | $897.9 | $3,284 |
| SAINT THOMAS RUTHERFORD HOSPITAL | MURFREESBORO | TN | 19 | $3,643.85 | $1,093.16 | $808.11 | $897.9 | $3,638 |
| SAINT THOMAS WEST HOSPITAL | NASHVILLE | TN | 19 | $3,643.85 | $1,093.16 | $808.11 | $897.9 | $3,638 |
| SAINT THOMAS STONES RIVER HOSPITAL | WOODBURY | TN | 19 | $3,643.85 | $1,093.16 | $372.8 | $897.9 | $2,984 |
| ST THOMAS DEKALB HOSPITAL | SMITHVILLE | TN | 19 | $3,643.85 | $1,093.16 | $372.8 | $884.96 | $2,984 |
| ASCENSION ST THOMAS RIVER PARK | MCMINNVILLE | TN | 20 | $3,643.85 | $1,093.16 | $372.8 | $884.96 | $2,984 |
| SAINT THOMAS HIGHLAND HOSPITAL | SPARTA | TN | 19 | $3,643.85 | $1,093.16 | $372.8 | $884.96 | $2,984 |
| METHODIST H/C MEMPHIS HOSPT. | MEMPHIS | TN | 16 | $12,559 | $2,763.03 | $297 | $858.52 | $3,463 |
| METRO NASHVILLE GENERAL HOSPITAL | NASHVILLE | TN | 17 | $2,757 | $1,654.2 | $68.73 | $124.97 | $1,516.35 |
| ST THOMAS HICKMAN HOSPITAL | CENTERVILLE | TN | 1 | — | — | $1,185 | $1,239 | $2,984 |
| BIG SOUTH FORK MEDICAL CENTER | ONEIDA | TN | 0 | $420 | $125.91 | — | — | — |
| ST THOMAS ASCENSION | NASHVILLE | TN | 0 | $9,261.1 | $2,287.49 | — | — | — |
Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.