Upper endoscopy with biopsy
Facility: Southwest General Health Center
Billing Code: 43239 (CPT)
A typical price — 4 charge more and 4 charge less, among the 9 OH hospitals compared.
Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.
A fair price for a Upper endoscopy with biopsy is about $860 (about 0.9× the $927 Medicare rate). Southwest General Health Center charges insurers about $228 — below the fair price — a good deal. Located in Middleburg Heights, OH.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 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 | $140 - $675 | 15% |
| Blue Cross Blue Shieldmajor | $171 - $675 | 18% |
| Humanamajor | $140 - $675 | 15% |
| AmeriHealth | $145 - $675 | 16% |
| CareSource | $140 - $675 | 15% |
| Medical Mutual | $171 - $377 | 18% |
| Molina | $140 - $1,173 | 15% |
| + 2 smaller / regional plans | $140 - $1,173 |
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 Southwest General Health Center
Compare: Upper endoscopy with biopsy at other OH hospitals
- Cincinnati Children's Hospital Medical Center · Cincinnati $175
- Fisher-Titus Hospital · Norwalk $180
- Southern Ohio Medical Center · Portsmouth $181
- Union Hospital · Dover $201
- Henry County Hospital, Inc · Napoleon $322
- Akron Children's Hospital · Akron $337
- Highland District Hospital · Hillsboro $495
- Nationwide Children's Hospital · Columbus $499
Insurance negotiated median for the same procedure, sorted lowest first.