Upper endoscopy with biopsy
Facility: St Mary's Hospital
Billing Code: 43239 (CPT)
A typical price — 3 charge more and 4 charge less, among the 9 ID hospitals compared.
Black dot = this hospital, among the 9 ID hospitals with a price for this procedure. Full list below.
A fair price for a Upper endoscopy with biopsy is about $266 (about 0.3× the $927 Medicare rate). St Mary's Hospital charges insurers about $213, or about $250 in cash — below the fair price — a good deal. Located in Cottonwood, ID.
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 | $116 - $298 | 13% |
| Blue Cross Blue Shieldmajor | $116 - $283 | 13% |
| Aetnamajor | $185 | 20% |
| GEHA | $323 | 35% |
| + 4 smaller / regional plans | $116 - $367 |
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 St Mary's Hospital
Compare: Upper endoscopy with biopsy at other ID hospitals
- Saint Alphonsus Regional Medical Center · Boise $99
- Saint Alphonsus Medical Center - Nampa · Nampa $99
- Nell J Redfield Memorial Hospital · Malad City $118
- Teton Valley Hospital · Driggs $197
- Clearwater Valley Hospital & Clinics · Orofino $213
- Caribou Medical Center · Soda Springs $233
- Kootenai Health · Coeur D'Alene $283
- Benewah Community Hospital · Saint Maries $284
Insurance negotiated median for the same procedure, sorted lowest first.