CMS Price Transparency Data
Upper endoscopy with biopsy
Facility: Bon Secours Community Hospital
Billing Code: 43239 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$1,686
about 1.8× the $927 Medicare rate · typically $955–$3,521
modeled estimate · not a bill or quote
Medicare pays $927 Fair price $1,686 Hospital's list price $560
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 | $3,907 - $4,927 | 422% |
| Blue Cross Blue Shieldmajor | $3,966 - $5,017 | 428% |
| Aetnamajor | $6,250 - $6,944 | 674% |
| Cignamajor | $5,738 | 619% |
| Geisinger | $3,718 | 401% |
| MagnaCare | $3,901 - $4,135 | 421% |
| Molina | $1,183 | 128% |
| MVP Health Care | $1,127 - $7,363 | 122% |
| + 8 smaller / regional plans | $1,127 - $4,188 |
Government programs also on file: Medicare, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Bon Secours Community Hospital
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.