CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Trinitas Regional Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,346
about 1.5× the $927 Medicare rate · typically $1,073–$2,352
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,049
Above the fair price
about $703 over the fair price · 2.2× Medicare
Medicare pays $927 Fair price $1,346 This hospital $2,049 Cash price $5,855

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 $2,049

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 $1,346 (about 1.5× the $927 Medicare rate). Trinitas Regional Medical Center charges insurers about $2,049, or about $5,855 in cash — above the fair price. Located in Elizabeth, 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 $1,346. 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 $1,045 - $4,523 113%
Blue Cross Blue Shieldmajor $195 - $4,288 21%
Aetnamajor $1,025 - $2,612 111%
Cignamajor $2,543 - $2,678 274%
Humanamajor $1,025 111%
AmeriHealth $1,674 181%
Clover Health $1,025 111%
Fidelis Care $1,025 111%
WellCare $2,039 220%
+ 1 smaller / regional plan $2,049

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: 225 Williamson Street, Elizabeth, NJ 07207
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals