Upper endoscopy with biopsy
Facility: Mt Sinai Hospital Medical Center
Billing Code: 43239 (CPT)
Highest price of the 9 IL hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.
A fair price for a Upper endoscopy with biopsy is about $903 (about 1.0× the $927 Medicare rate). Mt Sinai Hospital Medical Center charges insurers about $1,011, or about $949 in cash — about the fair price. Located in Chicago, IL.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 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 | $885 - $1,315 | 96% |
| Blue Cross Blue Shieldmajor | $475 - $1,473 | 51% |
| Aetnamajor | $1,473 - $5,825 | 159% |
| Cignamajor | $914 - $3,186 | 99% |
| Humanamajor | $972 - $8,093 | 105% |
| Ambetter (Centene) | $1,069 - $2,706 | 115% |
| Health Net | $943 - $1,473 | 102% |
| HealthLink | $691 - $1,580 | 75% |
| Meridian | $972 | 105% |
| Molina | $1,021 - $1,547 | 110% |
| Oscar Health | $372 - $841 | 40% |
| + 10 smaller / regional plans | $425 - $1,803 |
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 Mt Sinai Hospital Medical Center
Compare: Upper endoscopy with biopsy at other IL hospitals
- Carle Richland Memorial Hospital · Olney $82
- Sarah Bush Lincoln Health Center · Mattoon $128
- Kirby Medical Center · Monticello $130
- Washington County Hospital · Nashville $130
- Clay County Hospital · Flora $134
- Carle Eureka Hospital · Eureka $138
- Carle Hoopeston Regional Health Center · Hoopeston $138
- Sarah D Culbertson Memorial Hospital · Rushville $151
Insurance negotiated median for the same procedure, sorted lowest first.