Upper endoscopy with biopsy
Facility: UPMC Northwest
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 $919 (about 1.0× the $927 Medicare rate). UPMC Northwest charges insurers about $921, or about $2,132 in cash — about the fair price. Located in Seneca, 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 | $171 - $983 | 18% |
| Blue Cross Blue Shieldmajor | $220 - $2,334 | 24% |
| Aetnamajor | $178 - $2,310 | 19% |
| Cignamajor | $1,422 - $2,310 | 153% |
| Humanamajor | $3,021 | 326% |
| AmeriHealth | $232 - $965 | 25% |
| UPMC Health Plan | $163 - $1,094 | 18% |
| + 4 smaller / regional plans | $253 - $3,704 |
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 Northwest
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.