CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: UPMC Greene

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$878
about 0.9× the $927 Medicare rate · typically $398–$1,096
modeled estimate · not a bill or quote
What this hospital charges insurers
$898
About the fair price
about $20 over the fair price · 1.0× Medicare
Medicare pays $927 Fair price $878 This hospital $898

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 $898

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 $878 (about 0.9× the $927 Medicare rate). UPMC Greene charges insurers about $898 — about the fair price. Located in Waynesburg, 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

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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
Blue Cross Blue Shieldmajor $171 - $1,780 18%
Aetnamajor $178 - $1,922 19%
Humanamajor $903 97%
AmeriHealth $175 19%
UPMC Health Plan $894 96%
+ 2 smaller / regional plans $894 - $1,788

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Facility Profile & Credentials

  • Address: 350 Bonar Avenue, Waynesburg, PA 15370
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals