Upper endoscopy with biopsy
Facility: Decatur Memorial Hospital
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 $946 (about 1.0× the $927 Medicare rate). Decatur Memorial Hospital charges insurers about $956, or about $1,900 in cash — about the fair price. Located in Decatur, 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 | $389 - $1,900 | 42% |
| Blue Cross Blue Shieldmajor | $389 - $1,900 | 42% |
| Aetnamajor | $389 - $1,521 | 42% |
| Cignamajor | $885 | 96% |
| Humanamajor | $389 - $1,482 | 42% |
| HealthLink | $1,269 - $1,303 | 137% |
| WellCare | $956 | 103% |
| + 9 smaller / regional plans | $389 - $2,187 |
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 Decatur Memorial Hospital
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.