CMS Price Transparency Data
Upper endoscopy with biopsy
Facility: Jefferson Stratford Hospital
Billing Code: 43239 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$1,194
about 1.3× the $927 Medicare rate · typically $862–$2,430
modeled estimate · not a bill or quote
Medicare pays $927 Fair price $1,194 Cash price $1,173 Hospital's list price $2,588
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✓ Aetna✓ Cigna Blue Cross Blue ShieldHumanaKaiser 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 | $5,646 - $6,648 | 609% |
| Aetnamajor | $5,789 | 625% |
| Cignamajor | $5,000 - $6,000 | 540% |
| + 2 smaller / regional plans | $193 - $365 |
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Other Procedures at Jefferson Stratford 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.