Upper endoscopy with biopsy
Facility: Atrium Health Pineville
Billing Code: 43239 (CPT)
A typical price — 0 charge more and 5 charge less, among the 9 NC hospitals compared.
Black dot = this hospital, among the 9 NC hospitals with a price for this procedure. Full list below.
A fair price for a Upper endoscopy with biopsy is about $339 (about 0.4× the $927 Medicare rate). Atrium Health Pineville charges insurers about $358 — about the fair price. Located in Charlotte, NC.
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 | $131 - $939 | 14% |
| Blue Cross Blue Shieldmajor | $358 - $471 | 39% |
| Aetnamajor | $130 - $923 | 14% |
| Cignamajor | $126 - $936 | 14% |
| Humanamajor | $129 - $910 | 14% |
| AmeriHealth | $134 | 14% |
| WellCare | $134 | 14% |
| + 8 smaller / regional plans | $133 - $1,115 |
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 Atrium Health Pineville
Compare: Upper endoscopy with biopsy at other NC hospitals
- Duke University Hospital · Durham $133
- Hugh Chatham Memorial Hospital · Elkin $210
- Atrium Health Anson · Wadesboro $297
- Stanly Regional Medical Center · Albemarle $297
- Atrium Health Lincoln · Lincolnton $297
- Carolinas Medical Center-Northeast · Concord $358
- Atrium Health Cleveland · Shelby $358
- Atrium Health Union · Monroe $358
Insurance negotiated median for the same procedure, sorted lowest first.