Upper endoscopy with biopsy
Facility: UNM Hospital
Billing Code: 43239 (CPT)
One of the lower prices — 6 of 7 other NM hospitals charge more for the same procedure.
Black dot = this hospital, among the 8 NM hospitals with a price for this procedure. Full list below.
A fair price for a Upper endoscopy with biopsy is about $1,027 (about 1.1× the $927 Medicare rate). UNM Hospital charges insurers about $893, or about $1,084 in cash — below the fair price — a good deal. Located in Albuquerque, NM.
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
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 | $893 | 96% |
| Blue Cross Blue Shieldmajor | $315 - $893 | 34% |
| Aetnamajor | $893 | 96% |
| Humanamajor | $804 | 87% |
| Devoted Health | $1,072 | 116% |
| Molina | $2,189 | 236% |
| Presbyterian | $1,787 | 193% |
| + 10 smaller / regional plans | $893 - $2,189 |
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.
Other Procedures at UNM Hospital
Compare: Upper endoscopy with biopsy at other NM hospitals
- Gila Regional Medical Center · Silver City $526
- Eastern New Mexico Medical Center · Roswell $928
- Mountain View Regional Medical Center · Las Cruces $928
- Covenant Health Hobbs Hospital · Hobbs $945
- Dr Dan C Trigg Memorial Hospital · Tucumcari $1,037
- Carlsbad Medical Center · Carlsbad $1,098
- Presbyterian Hospital · Albuquerque $1,571
Insurance negotiated median for the same procedure, sorted lowest first.