CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Gettysburg Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$3,019
about 3.3× the $927 Medicare rate · typically $1,390–$4,522
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,366
About the fair price
about $347 over the fair price · 3.6× Medicare
Medicare pays $927 Fair price $3,019 This hospital $3,366

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 $3,366

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 $3,019 (about 3.3× the $927 Medicare rate). Gettysburg Hospital charges insurers about $3,366 — about the fair price. Located in Gettysburg, PA.

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

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $1,440 - $5,610 155%
Aetnamajor $989 - $6,420 107%
UPMC Health Plan $1,013 109%
+ 1 smaller / regional plan $960
Government programs also on file: Medicare, Medicaid.

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 147 Gettys Street, Gettysburg, PA 17325
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals