Upper endoscopy with biopsy
Facility: Great Falls Clinic Hospital
Billing Code: 43239 (CPT)
Highest price of the 9 MT hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 MT hospitals with a price for this procedure. Full list below.
⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.
A fair price for a Upper endoscopy with biopsy is about $1,562 (about 1.7× the $927 Medicare rate). Great Falls Clinic Hospital charges insurers about $1,752, or about $5,400 in cash — about the fair price. Located in Great Falls, MT.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $922 - $2,075 | 100% |
| Humanamajor | $922 | 100% |
| + 2 smaller / regional plans | $1,752 - $2,029 |
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 Great Falls Clinic Hospital
Compare: Upper endoscopy with biopsy at other MT hospitals
- Livingston Healthcare · Livingston $216
- Central Montana Medical Center · Lewistown $216
- Sidney Health Center · Sidney $219
- Frances Mahon Deaconess Hospital · Glasgow $227
- Stillwater Billings Clinic · Columbus $234
- Barrett Hospital & Healthcare · Dillon $239
- St Peters Health · Helena $752
- St. Patrick Hospital · Missoula $954
Insurance negotiated median for the same procedure, sorted lowest first.