CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Flushing Hospital Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,201
about 1.3× the $927 Medicare rate · typically $515–$1,667
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,194
About the fair price
about $7 under the fair price · 1.3× Medicare
Medicare pays $927 Fair price $1,201 This hospital $1,194 Cash price $2,231 Hospital's list price $2,231

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $110 Priciest $1,194

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 $1,201 (about 1.3× the $927 Medicare rate). Flushing Hospital Medical Center charges insurers about $1,194, or about $2,231 in cash — about the fair price. Located in Flushing, NY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $551 - $1,127 59%
Blue Cross Blue Shieldmajor $2,426 262%
Aetnamajor $1,127 - $2,812 122%
Cignamajor $4,250 459%
Humanamajor $1,138 - $1,194 123%
EmblemHealth $1,758 190%
Fidelis Care $1,070 - $1,127 115%
MagnaCare $1,296 - $4,555 140%
Oscar Health $4,018 434%
WellCare $1,172 126%
+ 17 smaller / regional plans $174 - $5,159

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Facility Profile & Credentials

  • Address: 45Th Avenue and Parsons Boulevard, Flushing, NY 11355
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals