Upper endoscopy with biopsy
Facility: UPMC Memorial
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 $935 (about 1.0× the $927 Medicare rate). UPMC Memorial charges insurers about $944, or about $2,020 in cash — about the fair price. Located in York, 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
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 - $962 | 40% |
| Blue Cross Blue Shieldmajor | $189 - $3,168 | 20% |
| Aetnamajor | $938 - $1,912 | 101% |
| Cignamajor | $944 - $5,035 | 102% |
| AmeriHealth | $189 - $201 | 20% |
| Geisinger | $216 - $2,431 | 23% |
| HealthPartners | $202 | 22% |
| UPMC Health Plan | $193 - $2,356 | 21% |
| + 4 smaller / regional plans | $555 - $2,582 |
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 Memorial
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.