CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: George Washington Univ Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$2,132

about 2.3× the $927 Medicare rate · typically $846–$3,138

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,572

Above the fair price

about $440 over the fair price · 2.8× Medicare

Medicare pays $927 Fair price $2,132 This hospital $2,572 Cash price $3,273 Hospital's list price $8,183

How we calculate the fair BaseRate →

How this hospital compares to other DC hospitals

Highest price of the 4 DC hospitals we have prices for — worth calling around.

Cheapest $988 Priciest $2,572

Black dot = this hospital, among the 4 DC hospitals with a price for this procedure. Full list below.

A fair price for a Upper endoscopy with biopsy is about $2,132 (about 2.3× the $927 Medicare rate). George Washington Univ Hospital charges insurers about $2,572, or about $3,273 in cash — above the fair price. Located in Washington, DC.

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 $2,132. 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.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$2,416 - $8,266	261%
Blue Cross Blue Shieldmajor	$616 - $698	66%
Aetnamajor	$3,575	386%
Cignamajor	$2,727	294%
+ 1 smaller / regional plan	$2,161

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 3,273), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 43239.

Insurance Before you use insurance

Call your insurance company to confirm George Washington Univ Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 43239.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at George Washington Univ Hospital

Compare: Upper endoscopy with biopsy at other DC hospitals

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