Upper endoscopy with biopsy
Facility: St Barnabas Hospital
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 $1,088 (about 1.2× the $927 Medicare rate). St Barnabas Hospital charges insurers about $878, or about $158 in cash — below the fair price — a good deal. Located in Bronx, 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 | $1,146 - $1,409 | 124% |
| Aetnamajor | $1,146 | 124% |
| Cignamajor | $2,629 - $3,093 | 284% |
| Humanamajor | $1,168 | 126% |
| EmblemHealth | $1,146 | 124% |
| Fidelis Care | $140 - $1,146 | 15% |
| WellCare | $1,088 | 117% |
| + 12 smaller / regional plans | $109 - $1,888 |
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 St Barnabas 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.