CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Cooperman Barnabas Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,333
about 1.4× the $927 Medicare rate · typically $1,078–$2,333
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,395
Well above the fair price
about $1,062 over the fair price · 2.6× Medicare
Medicare pays $927 Fair price $1,333 This hospital $2,395 Cash price $6,839

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 $2,395

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 $1,333 (about 1.4× the $927 Medicare rate). Cooperman Barnabas Medical Center charges insurers about $2,395, or about $6,839 in cash — well above the fair price. Located in Livingston, 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 $1,333. 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 $1,073 - $4,584 116%
Blue Cross Blue Shieldmajor $333 - $3,266 36%
Aetnamajor $1,052 - $5,521 114%
Cignamajor $2,686 - $2,829 290%
Humanamajor $1,052 114%
Clover Health $1,052 114%
Fidelis Care $1,052 114%
WellCare $2,093 226%
+ 2 smaller / regional plans $2,104 - $3,617

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: 94 Old Short Hills Road, Livingston, NJ 07039
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals