Upper endoscopy with biopsy
Facility: Mainehealth Pen Bay Hospital
Billing Code: 43239 (CPT)
A typical price — 4 charge more and 3 charge less, among the 9 ME hospitals compared.
Black dot = this hospital, among the 9 ME hospitals with a price for this procedure. Full list below.
A fair price for a Upper endoscopy with biopsy is about $565 (about 0.6× the $927 Medicare rate). Mainehealth Pen Bay Hospital charges insurers about $272 — below the fair price — a good deal. Located in Rockport, ME.
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 | $149 - $907 | 16% |
| Blue Cross Blue Shieldmajor | $131 - $4,406 | 14% |
| Aetnamajor | $132 - $926 | 14% |
| Cignamajor | $692 | 75% |
| Humanamajor | $149 - $907 | 16% |
| Harvard Pilgrim | $725 | 78% |
| WellCare | $134 - $935 | 14% |
| + 1 smaller / regional plan | $278 |
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 Mainehealth Pen Bay Hospital
Compare: Upper endoscopy with biopsy at other ME hospitals
- Millinocket Regional Hospital · Millinocket $133
- Lincolnhealth · Damariscotta $251
- Mainehealth Stephens Hospital · Norway $251
- Mainehealth Franklin Hospital · Farmington $272
- Mainehealth Mid Coast Hospital · Brunswick $275
- Mainehealth Maine Medical Center · Portland $278
- Houlton Regional Hospital · Houlton $452
- Penobscot Valley Hospital · Lincoln $477
Insurance negotiated median for the same procedure, sorted lowest first.