Upper endoscopy with biopsy
Facility: SSM St Clare Health Center
Billing Code: 43239 (CPT)
Highest price of the 9 MO hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 MO hospitals with a price for this procedure. Full list below.
A fair price for a Upper endoscopy with biopsy is about $1,116 (about 1.2× the $927 Medicare rate). SSM St Clare Health Center charges insurers about $810, or about $932 in cash — below the fair price — a good deal. Located in Fenton, MO.
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 | $922 - $2,783 | 100% |
| Blue Cross Blue Shieldmajor | $159 - $922 | 17% |
| Aetnamajor | $908 - $3,213 | 98% |
| Cignamajor | $2,680 | 289% |
| Humanamajor | $924 | 100% |
| Ambetter (Centene) | $1,568 | 169% |
| HealthLink | $1,628 - $2,709 | 176% |
| Oscar Health | $1,090 - $1,992 | 118% |
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 SSM St Clare Health Center
Compare: Upper endoscopy with biopsy at other MO hospitals
- Bates County Memorial Hospital · Butler $118
- Fitzgibbon Hospital · Marshall $144
- Harrison County Community Hospital · Bethany $145
- Mercy Hospital Lincoln · Troy $187
- Mercy Hospital Aurora · Aurora $214
- Mercy St Francis Hospital · Mountain View $234
- Mercy Hospital Carthage · Carthage $254
- Mosaic Life Care at St Joseph · Saint Joseph $285
Insurance negotiated median for the same procedure, sorted lowest first.