CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Temple University Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,164
about 1.3× the $927 Medicare rate · typically $476–$1,510
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,192
About the fair price
about $28 over the fair price · 1.3× Medicare
Medicare pays $927 Fair price $1,164 This hospital $1,192 Hospital's list price $6,328

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $147 Priciest $1,192

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 $1,164 (about 1.3× the $927 Medicare rate). Temple University Hospital charges insurers about $1,192 — about the fair price. Located in Philadelphia, 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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $953 - $6,368 103%
Blue Cross Blue Shieldmajor $949 - $4,889 102%
Aetnamajor $982 - $2,605 106%
Cignamajor $1,001 - $1,258 108%
Humanamajor $953 103%
AmeriHealth $208 22%
Clover Health $1,011 109%
Geisinger $1,049 - $3,750 113%
HealthPartners $972 - $1,670 105%
Oscar Health $1,430 154%
UPMC Health Plan $505 - $1,020 54%
+ 7 smaller / regional plans $332 - $2,834
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 3401 North Broad Street, Philadelphia, PA 19140
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals