Upper endoscopy with biopsy
Facility: Saint Joseph Regional Medical Center
Billing Code: 43239 (CPT)
On the higher side — 7 of 8 other IN hospitals charge less.
Black dot = this hospital, among the 9 IN hospitals with a price for this procedure. Full list below.
A fair price for a Upper endoscopy with biopsy is about $160 (about 0.2× the $927 Medicare rate). Saint Joseph Regional Medical Center charges insurers about $166 — about the fair price. Located in Mishawaka, IN.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 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 | $57 - $959 | 6% |
| Blue Cross Blue Shieldmajor | $57 - $3,388 | 6% |
| Aetnamajor | $57 - $1,487 | 6% |
| Cignamajor | $57 - $393 | 6% |
| Humanamajor | $57 - $191 | 6% |
| Kaiser Permanentemajor | $158 - $214 | 17% |
| Ambetter (Centene) | $62 - $166 | 7% |
| CareSource | $76 - $1,487 | 8% |
| Clover Health | $57 - $191 | 6% |
| GEHA | $116 - $306 | 13% |
| Health Net | $58 - $393 | 6% |
| HealthPartners | $62 - $166 | 7% |
| Meridian | $57 - $960 | 6% |
| Molina | $62 - $166 | 7% |
| Paramount | $62 - $166 | 7% |
| Presbyterian | $57 - $191 | 6% |
| Tufts Health Plan | $62 - $166 | 7% |
| WellMed | $57 - $191 | 6% |
| WellSense | $62 - $166 | 7% |
| + 348 smaller / regional plans | $57 - $3,388 |
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 Saint Joseph Regional Medical Center
Compare: Upper endoscopy with biopsy at other IN hospitals
- Johnson Memorial Hospital · Franklin $116
- Decatur County Memorial Hospital · Greensburg $116
- Harrison County Hospital · Corydon $122
- Pulaski Memorial Hospital · Winamac $126
- Daviess Community Hospital · Washington $134
- Rush Memorial Hospital · Rushville $135
- Henry County Memorial Hospital · New Castle $146
- Cameron Memorial Community Hospital Inc · Angola $177
Insurance negotiated median for the same procedure, sorted lowest first.