Upper endoscopy with biopsy
Facility: Sgmc Health
Billing Code: 43239 (CPT)
Highest price of the 9 GA hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 GA 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 $913 (about 1.0× the $927 Medicare rate). Sgmc Health charges insurers about $870, or about $3,942 in cash — about the fair price. Located in Valdosta, GA.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
0 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 |
|---|---|---|
| WellCare | $791 | 85% |
| + 3 smaller / regional plans | $629 - $1,028 |
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 Sgmc Health
Compare: Upper endoscopy with biopsy at other GA hospitals
- Miller County Hospital · Colquitt $158
- Atrium Health Navicent Peach · Byron $167
- Jeff Davis Hospital · Hazlehurst $203
- Shepherd Center, Inc. · Atlanta $451
- Grady Memorial Hospital · Atlanta $518
- Navicent Health Baldwin · Milledgeville $629
- Atrium Health Navicent Rehabilitation Hopsital · Macon $652
- Atrium Health Navicent the Medical Center · Macon $669
Insurance negotiated median for the same procedure, sorted lowest first.