Upper endoscopy with biopsy
Facility: Mercy Hospital of Folsom
Billing Code: 43239 (CPT)
Highest price of the 9 CA hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.
A fair price for a Upper endoscopy with biopsy is about $1,448 (about 1.6× the $927 Medicare rate). Mercy Hospital of Folsom charges insurers about $1,269 — below the fair price — a good deal. Located in Folsom, CA.
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
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 | $269 - $1,232 | 29% |
| Blue Cross Blue Shieldmajor | $638 - $9,971 | 69% |
| Aetnamajor | $1,232 - $8,006 | 133% |
| Humanamajor | $1,232 | 133% |
| Kaiser Permanentemajor | $1,232 | 133% |
| Health Net | $1,000 - $8,570 | 108% |
| Molina | $796 | 86% |
| + 3 smaller / regional plans | $138 - $1,444 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Mercy Hospital of Folsom
Compare: Upper endoscopy with biopsy at other CA hospitals
- Kern Valley Healthcare District · Lake Isabella $125
- Mayers Memorial Hospital · Fall River Mills $127
- Plumas District Hospital · Quincy $129
- Natividad Medical Center · Salinas $153
- Adventist Health Tulare · Tulare $154
- Adventist Health Tehachapi Valley · Tehachapi $163
- Adventist Health Ukiah Valley · Ukiah $171
- Adventist Health Bakersfield · Bakersfield $175
Insurance negotiated median for the same procedure, sorted lowest first.