CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: The University Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,135
about 1.2× the $927 Medicare rate · typically $780–$2,062
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,069
About the fair price
about $66 under the fair price · 1.2× Medicare
Medicare pays $927 Fair price $1,135 This hospital $1,069 Cash price $1,230 Hospital's list price $3,269

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 $1,069

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 $1,135 (about 1.2× the $927 Medicare rate). The University Hospital charges insurers about $1,069, or about $1,230 in cash — about the fair price. Located in Newark, 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 $960 - $2,568 104%
Blue Cross Blue Shieldmajor $979 106%
Aetnamajor $960 - $1,745 104%
AmeriHealth $550 - $1,069 59%
Clover Health $1,069 115%
Fidelis Care $960 - $1,069 104%
Health Net $3,106 335%
+ 6 smaller / regional plans $523 - $2,942
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 150 Bergen St, Newark, NJ 07103
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals