Upper endoscopy with biopsy
Facility: Clinton Memorial Hospital
Billing Code: 43239 (CPT)
Highest price of the 9 OH hospitals we have prices for — worth calling around.
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 $1,020 (about 1.1× the $927 Medicare rate). Clinton Memorial Hospital charges insurers about $1,022 — about the fair price. Located in Wilmington, OH.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 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 | $5,235 | 565% |
| Aetnamajor | $372 - $2,286 | 40% |
| CareSource | $1,140 | 123% |
| + 1 smaller / regional plan | $903 - $1,272 |
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 Clinton Memorial Hospital
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
- Southwest General Health Center · Middleburg Heights $228
- Henry County Hospital, Inc · Napoleon $322
- Akron Children's Hospital · Akron $337
- Highland District Hospital · Hillsboro $495
Insurance negotiated median for the same procedure, sorted lowest first.