CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: UPMC Lititz

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,025
about 1.1× the $927 Medicare rate · typically $771–$2,463
modeled estimate · not a bill or quote
What this hospital charges insurers
$939
About the fair price
about $86 under the fair price · 1.0× Medicare
Medicare pays $927 Fair price $1,025 This hospital $939 Cash price $2,020 Hospital's list price $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 $939

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 $1,025 (about 1.1× the $927 Medicare rate). UPMC Lititz charges insurers about $939, or about $2,020 in cash — about the fair price. Located in Lititz, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $368 - $964 40%
Blue Cross Blue Shieldmajor $189 - $2,832 20%
Aetnamajor $939 - $1,575 101%
Cignamajor $946 - $5,035 102%
AmeriHealth $189 - $201 20%
Geisinger $216 - $2,431 23%
HealthPartners $202 22%
UPMC Health Plan $193 - $2,356 21%
+ 3 smaller / regional plans $451 - $2,437
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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: 1500 Highlands Drive, Lititz, PA 17543
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals