CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Main Line Hospital Lankenau

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,096
about 1.2× the $927 Medicare rate · typically $493–$1,493
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,051
About the fair price
about $45 under the fair price · 1.1× Medicare
Medicare pays $927 Fair price $1,096 This hospital $1,051 Cash price $1,467 Hospital's list price $3,667

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 $1,051

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 $1,096 (about 1.2× the $927 Medicare rate). Main Line Hospital Lankenau charges insurers about $1,051, or about $1,467 in cash — about the fair price. Located in Wynnewood, PA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $1,049 113%
Blue Cross Blue Shieldmajor $940 - $3,153 101%
Aetnamajor $1,024 - $4,810 111%
Humanamajor $958 103%
Devoted Health $1,005 108%
Geisinger $1,052 114%
HealthPartners $987 107%
+ 1 smaller / regional plan $1,034

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Facility Profile & Credentials

  • Address: 100 Lancaster Ave, Wynnewood, PA 19096
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals