CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Magee Womens Hospital of UPMC Health System

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$938
about 1.0× the $927 Medicare rate · typically $433–$1,052
modeled estimate · not a bill or quote
What this hospital charges insurers
$939
About the fair price
about $1 over the fair price · 1.0× Medicare
Medicare pays $927 Fair price $938 This hospital $939 Cash price $3,973 Hospital's list price $6,622

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 $939

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Upper endoscopy with biopsy is about $938 (about 1.0× the $927 Medicare rate). Magee Womens Hospital of UPMC Health System charges insurers about $939, or about $3,973 in cash — about the fair price. 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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $163 - $965 18%
Blue Cross Blue Shieldmajor $220 - $4,282 24%
Aetnamajor $193 - $3,510 21%
Cignamajor $2,649 - $3,510 286%
Humanamajor $5,629 607%
AmeriHealth $235 - $965 25%
Geisinger $231 25%
UPMC Health Plan $163 - $2,316 18%
+ 3 smaller / regional plans $253 - $5,629
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 300 Halket Street, Pittsburgh, PA 15213
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals