Upper endoscopy with biopsy
Facility: Clara Maass Medical Center
Billing Code: 43239 (CPT)
Highest price of the 9 NJ hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 NJ hospitals with a price for this procedure. Full list below.
A fair price for a Upper endoscopy with biopsy is about $1,339 (about 1.4× the $927 Medicare rate). Clara Maass Medical Center charges insurers about $2,093, or about $3,986 in cash — above the fair price. Located in Belleville, NJ.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $1,339. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
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 | $1,073 - $4,267 | 116% |
| Blue Cross Blue Shieldmajor | $329 - $3,266 | 36% |
| Aetnamajor | $1,052 - $5,153 | 114% |
| Cignamajor | $1,950 - $2,610 | 210% |
| Humanamajor | $1,052 | 114% |
| Clover Health | $1,052 | 114% |
| Fidelis Care | $1,052 | 114% |
| WellCare | $2,093 | 226% |
| + 2 smaller / regional plans | $1,841 - $3,617 |
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 Clara Maass Medical Center
Compare: Upper endoscopy with biopsy at other NJ hospitals
- St Joseph's University Medical Center Inc · Paterson $623
- Inspira Medical Center Vineland · Vineland $1,020
- Inspira Medical Center Mullica Hill · Elmer $1,020
- Newton Medical Center · Newton $1,024
- AHS Hospital Corp · Hackettstown $1,024
- Capital Health Regional Medical Center · Trenton $1,025
- Centrastate Medical Center · Freehold $1,038
- Jfk University Medical Center · Edison $1,039
Insurance negotiated median for the same procedure, sorted lowest first.