CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: University Medical Center of Princeton at Plainsboro

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,288
about 1.4× the $927 Medicare rate · typically $1,068–$2,175
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,800
Above the fair price
about $512 over the fair price · 1.9× Medicare
Medicare pays $927 Fair price $1,288 This hospital $1,800 Cash price $5,082 Hospital's list price $5,082

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Highest price of the 9 NJ hospitals we have prices for — worth calling around.

Cheapest $623 Priciest $1,800

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 $1,288 (about 1.4× the $927 Medicare rate). University Medical Center of Princeton at Plainsboro charges insurers about $1,800, or about $5,082 in cash — above the fair price. Located in Plainsboro, 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 $1,288. 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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

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 $1,034 - $5,082 112%
Blue Cross Blue Shieldmajor $1,021 - $3,823 110%
Aetnamajor $469 - $4,233 51%
Cignamajor $1,065 - $5,082 115%
Humanamajor $1,117 121%
AmeriHealth $1,261 136%
Clover Health $1,096 118%
Health Net $3,557 - $5,082 384%
MagnaCare $3,557 - $4,491 384%
WellCare $515 56%
+ 28 smaller / regional plans $476 - $7,958
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

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Facility Profile & Credentials

  • Address: One-Five Plainsboro Road, Plainsboro, NJ 08536
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals