Upper endoscopy with biopsy
Facility: Medstar Health Physical Therapy
Billing Code: 43239 (CPT)
Lowest price of the 4 DC hospitals we have prices for — a strong deal.
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 $549 (about 0.6× the $927 Medicare rate). Medstar Health Physical Therapy charges insurers about $988, or about $1,214 in cash — well 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 $549. 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 | $966 - $1,494 | 104% |
| Blue Cross Blue Shieldmajor | $915 - $1,195 | 99% |
| Aetnamajor | $979 - $1,307 | 106% |
| Cignamajor | $1,587 | 171% |
| Humanamajor | $998 | 108% |
| Kaiser Permanentemajor | $998 - $1,903 | 108% |
| + 2 smaller / regional plans | $998 - $1,326 |
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 Health Physical Therapy
Compare: Upper endoscopy with biopsy at other DC hospitals
- Medstar Georgetown University Hospital · Washington $1,599
- Medstar Washington Hospital Center · Washington $1,903
- George Washington Univ Hospital · Washington $2,572
Insurance negotiated median for the same procedure, sorted lowest first.