CMS Price Transparency Data
Upper endoscopy with biopsy
Facility: Jefferson Abington Hospital
Billing Code: 43239 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$1,070
about 1.2× the $927 Medicare rate · typically $491–$1,496
modeled estimate · not a bill or quote
Medicare pays $927 Fair price $1,070 Cash price $762 Hospital's list price $965
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✓ Cigna HumanaKaiser 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 | $2,493 | 269% |
| Blue Cross Blue Shieldmajor | $2,704 | 292% |
| Aetnamajor | $222 - $3,077 | 24% |
| Cignamajor | $3,503 - $4,204 | 378% |
| Geisinger | $266 - $351 | 29% |
| HealthPartners | $300 | 32% |
| UPMC Health Plan | $4,204 | 454% |
| + 5 smaller / regional plans | $145 - $3,508 |
Government programs also on file: Medicare, Medicaid.
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Other Procedures at Jefferson Abington 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.