CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Milton S Hershey Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$965
about 1.0× the $927 Medicare rate · typically $794–$1,051
modeled estimate · not a bill or quote
What this hospital charges insurers
$972
About the fair price
about $7 over the fair price · 1.0× Medicare
Medicare pays $927 Fair price $965 This hospital $972 Cash price $2,019 Hospital's list price $6,094

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 $972

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 $965 (about 1.0× the $927 Medicare rate). Milton S Hershey Medical Center charges insurers about $972, or about $2,019 in cash — about the fair price. Located in Hershey, PA.

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 $981 - $4,394 106%
Blue Cross Blue Shieldmajor $818 - $5,173 88%
Aetnamajor $972 - $4,127 105%
Cignamajor $3,896 420%
Humanamajor $972 105%
AmeriHealth $818 - $962 88%
Cigna HealthSpring $972 105%
Geisinger $866 - $4,541 93%
HealthPartners $895 - $981 97%
UPMC Health Plan $981 - $4,502 106%
+ 2 smaller / regional plans $899 - $1,202
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 500 University Drive, Hershey, PA 17033
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals