Upper endoscopy with biopsy
Facility: UPMC Pinnacle Hospitals
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 $965 (about 1.0× the $927 Medicare rate). UPMC Pinnacle Hospitals charges insurers about $968, or about $2,051 in cash — about the fair price. Located in Harrisburg, 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 | $368 - $987 | 40% |
| Blue Cross Blue Shieldmajor | $673 - $3,012 | 73% |
| Aetnamajor | $962 - $3,485 | 104% |
| Cignamajor | $968 | 104% |
| Humanamajor | $950 | 103% |
| AmeriHealth | $189 - $201 | 20% |
| Geisinger | $216 | 23% |
| HealthPartners | $202 | 22% |
| UPMC Health Plan | $720 - $2,316 | 78% |
| + 5 smaller / regional plans | $253 - $2,951 |
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 UPMC Pinnacle Hospitals
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.