CMS Price Transparency Data
Upper endoscopy with biopsy
Facility: Hudson Regional Hospital
Billing Code: 43239 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$1,372
about 1.5× the $927 Medicare rate · typically $1,009–$2,497
modeled estimate · not a bill or quote
Medicare pays $927 Fair price $1,372 Cash price $6,971 Hospital's list price $6,971
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 | $2,778 | 300% |
| Blue Cross Blue Shieldmajor | $11,282 - $15,027 | 1218% |
| Aetnamajor | $6,400 | 691% |
| Cignamajor | $5,979 - $7,963 | 645% |
| + 2 smaller / regional plans | $1,731 - $2,552 |
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Other Procedures at Hudson Regional 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.