CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Carewell Health Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,266
about 1.4× the $927 Medicare rate · typically $868–$2,224
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,052
Below the fair price — a good deal
about $214 under the fair price · 1.1× Medicare
Medicare pays $927 Fair price $1,266 This hospital $1,052 Cash price $2,456 Hospital's list price $2,889

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 $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 $1,266 (about 1.4× the $927 Medicare rate). Carewell Health Medical Center charges insurers about $1,052, or about $2,456 in cash — below the fair price — a good deal. Located in East Orange, 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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $146 - $2,013 16%
Blue Cross Blue Shieldmajor $2,382 257%
Aetnamajor $558 - $2,456 60%
Amerigroup $515 56%
Clover Health $146 - $1,052 16%
MagnaCare $1,878 203%
WellCare $146 - $1,052 16%
+ 2 smaller / regional plans $146 - $1,891

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Facility Profile & Credentials

  • Address: 300 Central Ave, East Orange, NJ 07018
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals