Upper endoscopy with biopsy
Facility: Ochsner St Martin Hospital
Billing Code: 43239 (CPT)
A typical price — 3 charge more and 4 charge less, among the 9 LA hospitals compared.
Black dot = this hospital, among the 9 LA hospitals with a price for this procedure. Full list below.
A fair price for a Upper endoscopy with biopsy is about $474 (about 0.5× the $927 Medicare rate). Ochsner St Martin Hospital charges insurers about $468, or about $491 in cash — about the fair price. Located in Breaux Bridge, LA.
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 | $360 - $916 | 39% |
| Blue Cross Blue Shieldmajor | $360 - $1,258 | 39% |
| Aetnamajor | $360 - $1,488 | 39% |
| Cignamajor | $1,390 | 150% |
| Humanamajor | $360 - $468 | 39% |
| AmeriHealth | $468 | 51% |
| WellCare | $360 | 39% |
| + 6 smaller / regional plans | $360 - $572 |
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 Ochsner St Martin Hospital
Compare: Upper endoscopy with biopsy at other LA hospitals
- Childrens Hospital · New Orleans $144
- University Medical Center New Orleans · New Orleans $295
- Sabine Medical Center · Many $349
- Iberia Medical Center · New Iberia $373
- Avoyelles Hospital · Marksville $468
- Claiborne Memorial Medical Center · Homer $486
- Lallie Kemp Medical Center · Independence $499
- Oakdale Community Hospital · Oakdale $515
Insurance negotiated median for the same procedure, sorted lowest first.