CMS Price Transparency Data
Upper endoscopy with biopsy
Facility: Robert Wood Johnson University Hospital
Billing Code: 43239 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$1,326
about 1.4× the $927 Medicare rate · typically $1,071–$2,282
modeled estimate · not a bill or quote
Medicare pays $927 Fair price $1,326 Hospital's list price $1,218
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 | $165 - $5,085 | 18% |
| Blue Cross Blue Shieldmajor | $266 - $1,088 | 29% |
| Aetnamajor | $181 - $5,244 | 20% |
| Cignamajor | $3,922 - $4,131 | 423% |
| Humanamajor | $1,088 | 117% |
| Clover Health | $1,088 | 117% |
| Fidelis Care | $195 - $1,088 | 21% |
| WellCare | $2,165 | 234% |
| + 1 smaller / regional plan | $2,285 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Robert Wood Johnson University Hospital
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
- 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
Insurance negotiated median for the same procedure, sorted lowest first.