Upper endoscopy with biopsy
Facility: Vidant Edgecombe Hospital
Billing Code: 43239 (CPT)
Highest price of the 9 NC hospitals we have prices for — worth calling around.
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 $899 (about 1.0× the $927 Medicare rate). Vidant Edgecombe Hospital charges insurers about $897, or about $1,252 in cash — about the fair price. Located in Tarboro, 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 | $897 - $1,304 | 97% |
| Blue Cross Blue Shieldmajor | $378 - $1,263 | 41% |
| Aetnamajor | $924 - $1,829 | 100% |
| Cignamajor | $1,901 - $2,079 | 205% |
| Humanamajor | $880 | 95% |
| AmeriHealth | $386 | 42% |
| WellCare | $384 | 41% |
| + 4 smaller / regional plans | $382 - $1,143 |
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 Vidant Edgecombe Hospital
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 Pineville · Charlotte $358
Insurance negotiated median for the same procedure, sorted lowest first.