CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Harlem Hospital Center

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,300
about 1.4× the $927 Medicare rate · typically $549–$1,863
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,177
About the fair price
about $123 under the fair price · 1.3× Medicare
Medicare pays $927 Fair price $1,300 This hospital $1,177 Hospital's list price $2,763

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 $1,177

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 $1,300 (about 1.4× the $927 Medicare rate). Harlem Hospital Center charges insurers about $1,177 — about the fair price. Located in New York, 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 $985 - $2,829 106%
Blue Cross Blue Shieldmajor $985 - $2,216 106%
Aetnamajor $168 - $2,177 18%
Cignamajor $4,285 462%
Fidelis Care $218 - $2,216 24%
MagnaCare $2,072 224%
Oscar Health $4,454 481%
WellCare $164 - $1,658 18%
+ 14 smaller / regional plans $121 - $4,821
Government programs also on file: 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

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 506 Lenox Avenue, New York, NY 10037
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals