CMS Price Transparency Data
Upper endoscopy with biopsy
Facility: York Hospital
Billing Code: 43239 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$493
about 0.5× the $927 Medicare rate · typically $257–$1,148
modeled estimate · not a bill or quote
Medicare pays $927 Fair price $493 Cash price $245 Hospital's list price $408
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente
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 | $207 | 22% |
| Blue Cross Blue Shieldmajor | $2,598 - $3,248 | 280% |
| Aetnamajor | $453 | 49% |
| Cignamajor | $4,444 | 480% |
| + 1 smaller / regional plan | $429 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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.
Enter your details and press estimate to compare.
Other Procedures at York Hospital
Compare: Upper endoscopy with biopsy at other ME hospitals
- Millinocket Regional Hospital · Millinocket $133
- Lincolnhealth · Damariscotta $251
- Mainehealth Stephens Hospital · Norway $251
- Mainehealth Pen Bay Hospital · Rockport $272
- Mainehealth Franklin Hospital · Farmington $272
- Mainehealth Mid Coast Hospital · Brunswick $275
- Mainehealth Maine Medical Center · Portland $278
- Houlton Regional Hospital · Houlton $452
Insurance negotiated median for the same procedure, sorted lowest first.