Upper endoscopy with biopsy
Facility: Hospital of Univ of Pennsylvania
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 $1,188 (about 1.3× the $927 Medicare rate). Hospital of Univ of Pennsylvania charges insurers about $1,573, or about $4,134 in cash — above the fair price. Located in Philadelphia, PA.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $1,188. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 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 | $554 - $4,134 | 60% |
| Blue Cross Blue Shieldmajor | $953 - $20,526 | 103% |
| Aetnamajor | $1,011 - $4,134 | 109% |
| Cignamajor | $982 - $4,326 | 106% |
| Humanamajor | $982 - $3,307 | 106% |
| Kaiser Permanentemajor | $295 - $4,134 | 32% |
| Clover Health | $1,030 | 111% |
| Devoted Health | $1,001 | 108% |
| Geisinger | $982 - $3,023 | 106% |
| Health Net | $2,480 | 268% |
| HealthPartners | $715 - $4,134 | 77% |
| Oscar Health | $1,621 | 175% |
| UPMC Health Plan | $253 - $4,134 | 27% |
| + 39 smaller / regional plans | $281 - $4,134 |
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 Hospital of Univ of Pennsylvania
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.