Upper endoscopy with biopsy
Facility: Hospital of the Fox Chase Cancer Center
Billing Code: 43239 (CPT)
Highest price of the 9 PA hospitals we have prices for — worth calling around.
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 $507 (about 0.5× the $927 Medicare rate). Hospital of the Fox Chase Cancer Center charges insurers about $1,160 — well above the fair price. Located in Philadelphia, PA.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $507. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
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
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 | $1,012 | 109% |
| Blue Cross Blue Shieldmajor | $932 - $3,207 | 101% |
| Aetnamajor | $1,174 - $6,316 | 127% |
| Cignamajor | $1,127 | 122% |
| Humanamajor | $932 | 101% |
| Clover Health | $988 | 107% |
| HealthPartners | $950 - $1,670 | 103% |
| Oscar Health | $1,398 | 151% |
| UPMC Health Plan | $505 - $1,146 | 54% |
| + 6 smaller / regional plans | $239 - $3,923 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Hospital of the Fox Chase Cancer Center
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.