CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Lower Bucks Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,070
about 1.2× the $927 Medicare rate · typically $484–$1,494
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,071
About the fair price
about $1 over the fair price · 1.2× Medicare
Medicare pays $927 Fair price $1,070 This hospital $1,071 Cash price $892 Hospital's list price $2,890

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 $1,071

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 $1,070 (about 1.2× the $927 Medicare rate). Lower Bucks Hospital charges insurers about $1,071, or about $892 in cash — about the fair price. Located in Bristol, 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✓ Cigna✓ Humana AetnaKaiser 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 $892 - $2,040 96%
Blue Cross Blue Shieldmajor $892 - $2,523 96%
Cignamajor $2,157 233%
Humanamajor $714 77%
HealthPartners $892 - $1,582 96%
+ 7 smaller / regional plans $158 - $2,890
Government programs also on file: Medicare, Medicaid, Military & VA.

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: 501 Bath Road, Bristol, PA 19007
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals