Upper endoscopy with biopsy
Facility: Saint Clare's Hospital/ Denville Campus
Billing Code: 43239 (CPT)
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 $1,420 (about 1.5× the $927 Medicare rate). Saint Clare's Hospital/ Denville Campus charges insurers about $1,989, or about $1,051 in cash — above the fair price. Located in Denville, 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 $1,420. 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 | $1,052 - $6,930 | 114% |
| Blue Cross Blue Shieldmajor | $1,052 | 114% |
| Aetnamajor | $1,052 - $2,230 | 114% |
| Cignamajor | $1,625 | 175% |
| Humanamajor | $841 | 91% |
| AmeriHealth | $1,052 | 114% |
| Clover Health | $1,052 | 114% |
| MagnaCare | $1,989 | 215% |
| WellCare | $1,052 - $1,420 | 114% |
| + 4 smaller / regional plans | $1,052 - $2,187 |
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 Saint Clare's Hospital/ Denville Campus
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.