CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Wellspan Waynesboro Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,032
about 3.3× the $927 Medicare rate · typically $1,592–$4,715
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,385
About the fair price
about $353 over the fair price · 3.7× Medicare
Medicare pays $927 Fair price $3,032 This hospital $3,385

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 $3,385

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 $3,032 (about 3.3× the $927 Medicare rate). Wellspan Waynesboro Hospital charges insurers about $3,385 — about the fair price. Located in Waynesboro, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $17,846 1926%
Blue Cross Blue Shieldmajor $1,000 - $3,836 108%
Aetnamajor $1,030 - $3,399 111%
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 501 East Main St, Waynesboro, PA 17268
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals