Upper endoscopy with biopsy
Facility: Newton Medical Center
Billing Code: 43239 (CPT)
A typical price — 4 charge more and 3 charge less, among the 9 NJ hospitals compared.
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 $1,265 (about 1.4× the $927 Medicare rate). Newton Medical Center charges insurers about $1,024, or about $1,523 in cash — below the fair price — a good deal. Located in Newton, NJ.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $1,024 - $11,952 | 111% |
| Aetnamajor | $1,024 - $1,434 | 111% |
| Cignamajor | $1,024 | 111% |
| Ambetter (Centene) | $1,024 | 111% |
| AmeriHealth | $1,024 - $4,096 | 111% |
| Health Net | $2,412 | 260% |
| UPMC Health Plan | $1,024 | 111% |
| WellCare | $1,024 | 111% |
| + 25 smaller / regional plans | $275 - $12,000 |
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 Newton 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
- 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
- Carewell Health Medical Center · East Orange $1,052
Insurance negotiated median for the same procedure, sorted lowest first.