Upper endoscopy with biopsy
Facility: West Penn Hospital
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 $279 (about 0.3× the $927 Medicare rate). West Penn Hospital charges insurers about $238, or about $103 in cash — below the fair price — a good deal. Located in Pittsburgh, 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 | $215 - $3,165 | 23% |
| Blue Cross Blue Shieldmajor | $119 - $2,289 | 13% |
| Aetnamajor | $178 - $2,985 | 19% |
| Cignamajor | $218 - $2,993 | 24% |
| Humanamajor | $956 | 103% |
| AmeriHealth | $156 - $947 | 17% |
| Geisinger | $215 - $450 | 23% |
| Medical Mutual | $2,993 | 323% |
| Molina | $983 | 106% |
| + 5 smaller / regional plans | $128 - $902 |
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 West Penn Hospital
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.