CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: St Joseph's University Medical Center Inc

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,177
about 1.3× the $927 Medicare rate · typically $616–$2,034
modeled estimate · not a bill or quote
What this hospital charges insurers
$623
Below the fair price — a good deal
about $554 under the fair price · 0.7× Medicare
Medicare pays $927 Fair price $1,177 This hospital $623 Cash price $3,615 Hospital's list price $3,615

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Lowest price of the 9 NJ hospitals we have prices for — a strong deal.

Cheapest $623 Priciest $1,052

Black dot = this hospital, among the 9 NJ 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 $1,177 (about 1.3× the $927 Medicare rate). St Joseph's University Medical Center Inc charges insurers about $623, or about $3,615 in cash — below the fair price — a good deal. Located in Paterson, NJ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $101 - $3,425 11%
Blue Cross Blue Shieldmajor $135 - $3,068 15%
Aetnamajor $135 - $6,397 15%
Cignamajor $1,202 - $3,615 130%
Ambetter (Centene) $135 - $1,616 15%
AmeriHealth $135 - $2,302 15%
Clover Health $135 - $1,078 15%
Fidelis Care $101 - $1,131 11%
Health Net $356 - $3,254 38%
MagnaCare $2,530 273%
Oscar Health $3,405 367%
+ 4 smaller / regional plans $135 - $3,155
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 703 Main St, Paterson, NJ 07503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals