CMS Price Transparency Data
Upper endoscopy with biopsy
Facility: Chester County Hospital
Billing Code: 43239 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$1,187
about 1.3× the $927 Medicare rate · typically $487–$1,600
modeled estimate · not a bill or quote
Medicare pays $927 Fair price $1,187 Cash price $475 Hospital's list price $475
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 | $941 - $3,141 | 102% |
| Blue Cross Blue Shieldmajor | $1,916 | 207% |
| Aetnamajor | $152 - $988 | 16% |
| Cignamajor | $428 - $2,704 | 46% |
| Humanamajor | $960 | 104% |
| Clover Health | $988 | 107% |
| Devoted Health | $978 | 106% |
| Geisinger | $2,955 | 319% |
| HealthPartners | $475 - $960 | 51% |
| Oscar Health | $1,584 | 171% |
| + 33 smaller / regional plans | $109 - $2,469 |
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Chester County Hospital
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.