Upper endoscopy with biopsy
Facility: Nemours Children's Hospital, Delaware
Billing Code: 43239 (CPT)
One of the lower prices — 4 of 6 other DE hospitals charge more for the same procedure.
Black dot = this hospital, among the 7 DE 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 $588 (about 0.6× the $927 Medicare rate). Nemours Children's Hospital, Delaware charges insurers about $630, or about $4,812 in cash — about the fair price. Located in Wilmington, DE.
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
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 | $1,766 - $3,003 | 191% |
| Blue Cross Blue Shieldmajor | $1,490 - $4,249 | 161% |
| Aetnamajor | $2,041 - $2,791 | 220% |
| Cignamajor | $2,647 - $3,032 | 286% |
| Ambetter (Centene) | $2,743 | 296% |
| AmeriHealth | $1,474 - $2,743 | 159% |
| Fidelis Care | $1,925 | 208% |
| Geisinger | $2,887 | 312% |
| HealthPartners | $1,867 | 201% |
| UPMC Health Plan | $1,906 | 206% |
| + 14 smaller / regional plans | $622 - $4,812 |
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 Nemours Children's Hospital, Delaware
Compare: Upper endoscopy with biopsy at other DE hospitals
- PAM Rehabilitation Hospital of Dover · Dover $360
- PAM Health Rehabilitation Hospital of Georgetown · Georgetown $360
- Christiana Hospital · Newark $1,068
- Bayhealth Hospital, Sussex Campus · Milford $1,235
- Bayhealth Medical Center, Kent Campus · Dover $1,274
- St Francis Hospital · Wilmington $2,432
Insurance negotiated median for the same procedure, sorted lowest first.