CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Saratoga Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$327
about 0.4× the $927 Medicare rate · typically $163–$1,257
modeled estimate · not a bill or quote
What this hospital charges insurers
$319
About the fair price
about $8 under the fair price · 0.3× Medicare
Medicare pays $927 Fair price $327 This hospital $319 Cash price $499 Hospital's list price $998

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

On the higher side — 7 of 8 other NY hospitals charge less.

Cheapest $110 Priciest $322

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 $327 (about 0.4× the $927 Medicare rate). Saratoga Hospital charges insurers about $319, or about $499 in cash — about the fair price. Located in Saratoga Springs, 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

✓ 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 $128 - $2,327 14%
Blue Cross Blue Shieldmajor $103 - $4,443 11%
Aetnamajor $130 - $3,020 14%
Cignamajor $194 - $623 21%
CDPHP $87 - $4,172 9%
Fidelis Care $96 - $2,177 10%
MagnaCare $803 - $2,457 87%
MVP Health Care $125 - $4,445 13%
+ 5 smaller / regional plans $119 - $2,274
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 211 Church Street, Saratoga Springs, NY 12866
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals