Upper endoscopy with biopsy
Facility: Medstar Georgetown University Hospital
Billing Code: 43239 (CPT)
One of the lower prices — 2 of 3 other DC hospitals charge more for the same procedure.
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 $1,995 (about 2.2× the $927 Medicare rate). Medstar Georgetown University Hospital charges insurers about $1,599, or about $1,636 in cash — below the fair price — a good deal. Located in Washington, DC.
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 | $705 - $4,501 | 76% |
| Blue Cross Blue Shieldmajor | $1,071 - $1,599 | 116% |
| Aetnamajor | $1,104 - $1,611 | 119% |
| Cignamajor | $1,626 | 175% |
| Humanamajor | $1,125 | 121% |
| Amerigroup | $2,171 | 234% |
| AmeriHealth | $2,171 | 234% |
| + 2 smaller / regional plans | $1,125 - $2,171 |
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 Medstar Georgetown University Hospital
Compare: Upper endoscopy with biopsy at other DC hospitals
- Medstar Health Physical Therapy · Washington $988
- Medstar Washington Hospital Center · Washington $1,903
- George Washington Univ Hospital · Washington $2,572
Insurance negotiated median for the same procedure, sorted lowest first.