CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: UPMC Altoona

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$718
about 0.8× the $927 Medicare rate · typically $282–$938
modeled estimate · not a bill or quote
What this hospital charges insurers
$730
About the fair price
about $12 over the fair price · 0.8× Medicare
Medicare pays $927 Fair price $718 This hospital $730 Cash price $1,676 Hospital's list price $2,793

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 $730

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 $718 (about 0.8× the $927 Medicare rate). UPMC Altoona charges insurers about $730, or about $1,676 in cash — about the fair price. Located in Altoona, 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 $156 - $1,432 17%
Blue Cross Blue Shieldmajor $220 - $965 24%
Aetnamajor $149 - $1,480 16%
Cignamajor $965 - $1,396 104%
AmeriHealth $232 - $965 25%
Geisinger $207 - $1,536 22%
HealthPartners $224 24%
UPMC Health Plan $163 - $2,524 18%
+ 2 smaller / regional plans $253 - $2,234
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 620 Howard Avenue, Altoona, PA 16601
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals