CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Inspira Medical Center Vineland

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,075

about 1.2× the $927 Medicare rate · typically $1,021–$1,367

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,020

About the fair price

about $55 under the fair price · 1.1× Medicare

Medicare pays $927 Fair price $1,075 This hospital $1,020

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

One of the lower prices — 6 of 8 other NJ hospitals charge more for the same procedure.

Cheapest $623 Priciest $1,052

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 $1,075 (about 1.2× the $927 Medicare rate). Inspira Medical Center Vineland charges insurers about $1,020 — about the fair price. Located in Vineland, 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✓ Humana CignaKaiser 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	$1,020	110%
Blue Cross Blue Shieldmajor	$1,020	110%
Aetnamajor	$1,020 - $8,155	110%
Humanamajor	$1,071	116%
Ambetter (Centene)	$2,092	226%
Cigna HealthSpring	$1,051	113%
Clover Health	$1,020	110%
WellCare	$1,020	110%
+ 4 smaller / regional plans	$447 - $1,092

Government programs also on file: Medicare.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 43239.

Insurance Before you use insurance

Call your insurance company to confirm Inspira Medical Center Vineland is in-network.
Ask your insurer whether prior approval is required for CPT code 43239.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Inspira Medical Center Vineland

Compare: Upper endoscopy with biopsy at other NJ hospitals

St Joseph's University Medical Center Inc · Paterson $623
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
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.