Upper endoscopy with biopsy
Facility: Robert Wood Johnson University Hospital at Rahway
Billing Code: 43239 (CPT)
This hospital's typical commercial price is $1,793 compared to the $1,381 fair price benchmark.
4-Star CMS clinical quality rating paired with 1.30× fair market pricing.
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 $1,381 (about 1.5× the $927 Medicare rate). Robert Wood Johnson University Hospital at Rahway charges insurers about $1,793, or about $4,627 in cash — above the fair price. Located in Rahway, 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 $1,381. 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 | $1,045 - $4,267 | 113% |
| Blue Cross Blue Shieldmajor | $387 - $1,025 | 42% |
| Aetnamajor | $1,025 - $3,135 | 111% |
| Cignamajor | $1,783 - $2,386 | 192% |
| Humanamajor | $1,025 | 111% |
| Clover Health | $1,025 | 111% |
| Fidelis Care | $1,025 | 111% |
| WellCare | $2,039 | 220% |
| + 1 smaller / regional plan | $1,793 |
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 Robert Wood Johnson University Hospital at Rahway
Compare: Upper endoscopy with biopsy at other NJ hospitals
- Cooper University Hospital · Camden $558
- 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
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Robert Wood Johnson University Hospital at Rahway (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $1,562
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $1,562).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Robert Wood Johnson University Hospital at Rahway's published 45 CFR § 180 self-pay cash rate is $4,627 (vs. $1,793 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $1,381 Fair BaseRate ($927 Medicare)
Your bill ($4,303) is $2,922 above the denoised Fair BaseRate ($1,381) and 4.6× the $927 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.