Upper endoscopy with biopsy
Facility: Saint Mary's Hospital
Billing Code: 43239 (CPT)
One of the lower prices — 7 of 8 other CT hospitals charge more for the same procedure.
Black dot = this hospital, among the 9 CT hospitals with a price for this procedure. Full list below.
⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.
A fair price for a Upper endoscopy with biopsy is about $107 (about 0.1× the $927 Medicare rate). Saint Mary's Hospital charges insurers about $219, or about $1,626 in cash — well above the fair price. Located in Waterbury, CT.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $107. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 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 | $82 - $1,066 | 9% |
| Blue Cross Blue Shieldmajor | $82 - $3,225 | 9% |
| Aetnamajor | $82 - $1,066 | 9% |
| Cignamajor | $82 - $1,098 | 9% |
| Humanamajor | $82 - $219 | 9% |
| Kaiser Permanentemajor | $238 - $3,225 | 26% |
| Ambetter (Centene) | $82 - $105 | 9% |
| Clover Health | $105 - $219 | 11% |
| Harvard Pilgrim | $256 - $411 | 28% |
| Health Net | $82 - $491 | 9% |
| HealthPartners | $82 - $105 | 9% |
| Meridian | $82 - $219 | 9% |
| Molina | $82 - $105 | 9% |
| Paramount | $82 - $105 | 9% |
| Presbyterian | $82 - $219 | 9% |
| Tufts Health Plan | $82 - $409 | 9% |
| UniCare | $169 - $3,225 | 18% |
| WellMed | $105 - $219 | 11% |
| WellSense | $82 - $105 | 9% |
| + 357 smaller / regional plans | $82 - $3,225 |
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 Saint Mary's Hospital
Compare: Upper endoscopy with biopsy at other CT hospitals
- Gaylord Hospital · Wallingford $143
- Midstate Medical Center · Meriden $371
- William W Backus Hospital · Norwich $371
- The Hospital of Central Connecticut · New Britain $371
- Windham Community Memorial Hospital · Willimantic $378
- Hartford Hospital · Hartford $380
- St Vincent's Medical Center · Bridgeport $380
- John Dempsey Hospital of the University of Connect · Farmington $1,121
Insurance negotiated median for the same procedure, sorted lowest first.