Upper endoscopy with biopsy
Facility: Elmhurst Hospital Center
Billing Code: 43239 (CPT)
Highest price of the 9 NY hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.
A fair price for a Upper endoscopy with biopsy is about $1,083 (about 1.2× the $927 Medicare rate). Elmhurst Hospital Center charges insurers about $1,043 — about the fair price. Located in Elmhurst, NY.
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 | $507 - $3,275 | 55% |
| Blue Cross Blue Shieldmajor | $441 - $2,183 | 48% |
| Aetnamajor | $278 - $2,177 | 30% |
| Cignamajor | $4,285 | 462% |
| Fidelis Care | $217 - $2,183 | 23% |
| MagnaCare | $2,072 | 224% |
| Oscar Health | $1,664 - $4,454 | 180% |
| WellCare | $163 - $1,658 | 18% |
| + 14 smaller / regional plans | $121 - $4,821 |
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 Elmhurst Hospital Center
Compare: Upper endoscopy with biopsy at other NY hospitals
- Maimonides Medical Center · Brooklyn $110
- Geneva General Hospital · Geneva $141
- Kenmore Mercy Hospital · Kenmore $160
- Sisters of Charity Hospital · Buffalo $204
- Elizabethtown Community Hospital · Elizabethtown $232
- The University of Vermont Health Network-Alice Hy · Malone $253
- Mercy Hospital of Buffalo · Buffalo $313
- Saratoga Hospital · Saratoga Springs $319
Insurance negotiated median for the same procedure, sorted lowest first.