Upper endoscopy with biopsy
Facility: Northern Maine Medical Center
Billing Code: 43239 (CPT)
Highest price of the 9 ME hospitals we have prices for — worth calling around.
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 $552 (about 0.6× the $927 Medicare rate). Northern Maine Medical Center charges insurers about $561, or about $30 in cash — about the fair price. Located in Fort Kent, 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 | $124 - $2,721 | 13% |
| Blue Cross Blue Shieldmajor | $127 - $2,580 | 14% |
| Aetnamajor | $124 - $2,664 | 13% |
| Cignamajor | $219 - $2,778 | 24% |
| Humanamajor | $124 - $1,575 | 13% |
| Harvard Pilgrim | $200 - $2,540 | 22% |
| WellCare | $124 - $1,575 | 13% |
| + 6 smaller / regional plans | $124 - $2,721 |
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 Northern Maine Medical Center
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.