Upper endoscopy with biopsy
Facility: St Clair Hospital
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 $758 (about 0.8× the $927 Medicare rate). St Clair Hospital charges insurers about $1,977, or about $705 in cash — well above the fair price. Located in Pittsburgh, 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 $758. 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 | $156 - $2,899 | 17% |
| Blue Cross Blue Shieldmajor | $171 - $1,977 | 18% |
| Aetnamajor | $171 - $2,368 | 18% |
| Cignamajor | $919 - $2,027 | 99% |
| Humanamajor | $883 | 95% |
| AmeriHealth | $171 - $883 | 18% |
| Geisinger | $157 - $910 | 17% |
| HealthPartners | $157 - $928 | 17% |
| UPMC Health Plan | $309 - $2,974 | 33% |
| + 3 smaller / regional plans | $149 - $2,120 |
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 St Clair 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.