Upper endoscopy with biopsy
Facility: Geisinger-Community Medical Center
Billing Code: 43239 (CPT)
Highest price of the 9 PA hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.
A fair price for a Upper endoscopy with biopsy is about $933 (about 1.0× the $927 Medicare rate). Geisinger-Community Medical Center charges insurers about $935, or about $2,734 in cash — about the fair price. Located in Scranton, PA.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 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 | $7,139 | 770% |
| Blue Cross Blue Shieldmajor | $343 - $4,784 | 37% |
| Aetnamajor | $972 - $2,601 | 105% |
| Cignamajor | $1,944 | 210% |
| Humanamajor | $945 | 102% |
| Ambetter (Centene) | $3,056 | 330% |
| AmeriHealth | $171 | 18% |
| Geisinger | $153 - $2,663 | 17% |
| Health Net | $2,584 | 279% |
| HealthPartners | $178 | 19% |
| UPMC Health Plan | $175 - $186 | 19% |
| + 4 smaller / regional plans | $926 - $3,968 |
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 Geisinger-Community Medical Center
Compare: Upper endoscopy with biopsy at other PA hospitals
- Reading Hospital · West Reading $147
- Titusville Area Hospital · Titusville $161
- UPMC Wellsboro · Wellsboro $166
- UPMC Muncy · Muncy $168
- Uniontown Hospital · Uniontown $210
- Allegheny Valley Hospital · Natrona $218
- Allegheny General Hospital · Pittsburgh $218
- Canonsburg General Hospital · Canonsburg $218
Insurance negotiated median for the same procedure, sorted lowest first.