CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Roxborough Memorial Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,165
about 1.3× the $927 Medicare rate · typically $470–$1,545
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,298
About the fair price
about $133 over the fair price · 1.4× Medicare
Medicare pays $927 Fair price $1,165 This hospital $1,298 Cash price $927 Hospital's list price $5,569

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 $1,298

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 $1,165 (about 1.3× the $927 Medicare rate). Roxborough Memorial Hospital charges insurers about $1,298, or about $927 in cash — about the fair price. Located in Philadelphia, 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✓ Cigna✓ Humana AetnaKaiser 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 $927 - $2,040 100%
Blue Cross Blue Shieldmajor $927 - $2,523 100%
Cignamajor $2,193 237%
Humanamajor $742 80%
HealthPartners $927 - $1,582 100%
+ 7 smaller / regional plans $158 - $3,634
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 5800 Ridge Ave, Philadelphia, PA 19128
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals