Upper endoscopy with biopsy
Facility: Madison County Health Care System
Billing Code: 43239 (CPT)
Highest price of the 9 IA hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 IA 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 $285 (about 0.3× the $927 Medicare rate). Madison County Health Care System charges insurers about $247, or about $1,598 in cash — below the fair price — a good deal. Located in Winterset, IA.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 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 | $115 - $2,615 | 12% |
| Blue Cross Blue Shieldmajor | $249 - $2,264 | 27% |
| Aetnamajor | $115 - $1,889 | 12% |
| Amerigroup | $1,155 - $1,448 | 125% |
| Molina | $1,117 - $1,414 | 121% |
| Oscar Health | $199 - $1,874 | 21% |
| + 14 smaller / regional plans | $115 - $2,906 |
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 Madison County Health Care System
Compare: Upper endoscopy with biopsy at other IA hospitals
- Waverly Health Center · Waverly $115
- Mahaska Health Partnership · Oskaloosa $115
- Guthrie County Hospital · Guthrie Center $117
- Story County Hospital · Nevada $124
- Cass County Memorial Hospital · Atlantic $127
- Clarke County Hospital · Osceola $142
- Virginia Gay Hospital · Vinton $159
- Winnmed · Decorah $164
Insurance negotiated median for the same procedure, sorted lowest first.