CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Penn State Health Hampden 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 $795–$1,050
modeled estimate · not a bill or quote
What this hospital charges insurers
$886
About the fair price
about $79 under the fair price · 1.0× Medicare
Medicare pays $927 Fair price $965 This hospital $886 Cash price $1,918 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 $886

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). Penn State Health Hampden Medical Center charges insurers about $886, or about $1,918 in cash — about the fair price. Located in Enola, 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 $886 - $3,803 96%
Blue Cross Blue Shieldmajor $753 - $3,789 81%
Aetnamajor $895 - $3,662 97%
Cignamajor $3,739 404%
Humanamajor $895 97%
AmeriHealth $753 - $886 81%
Cigna HealthSpring $895 97%
Geisinger $798 - $4,067 86%
HealthPartners $824 - $904 89%
UPMC Health Plan $904 - $4,502 98%
+ 2 smaller / regional plans $829 - $1,108
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: 2200 Good Hope Road, Enola, PA 17025
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals