Upper endoscopy with biopsy
Facility: Wellstar Douglas Medical Center
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.
A fair price for a Upper endoscopy with biopsy is about $1,874 (about 2.0× the $927 Medicare rate). Wellstar Douglas Medical Center charges insurers about $1,694, or about $1,406 in cash — about the fair price. Located in Douglasville, GA.
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 | $5,272 | 569% |
| Blue Cross Blue Shieldmajor | $931 - $3,467 | 100% |
| Aetnamajor | $913 - $4,714 | 99% |
| Cignamajor | $959 - $3,437 | 103% |
| Ambetter (Centene) | $1,607 | 173% |
| CareSource | $977 - $1,789 | 105% |
| Oscar Health | $1,689 | 182% |
| + 1 smaller / regional plan | $1,694 |
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 Wellstar Douglas Medical Center
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.