CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Geisinger Jersey Shore Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$360
about 0.4× the $927 Medicare rate · typically $187–$760
modeled estimate · not a bill or quote
What this hospital charges insurers
$375
About the fair price
about $15 over the fair price · 0.4× Medicare
Medicare pays $927 Fair price $360 This hospital $375 Cash price $563 Hospital's list price $908

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 $375

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 $360 (about 0.4× the $927 Medicare rate). Geisinger Jersey Shore Hospital charges insurers about $375, or about $563 in cash — about the fair price. Located in Jersey Shore, 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 $403 43%
Blue Cross Blue Shieldmajor $146 - $539 16%
Aetnamajor $375 - $695 40%
Cignamajor $436 47%
Humanamajor $379 41%
Ambetter (Centene) $900 97%
AmeriHealth $163 18%
Geisinger $163 - $446 18%
HealthPartners $178 19%
UPMC Health Plan $175 - $186 19%
+ 6 smaller / regional plans $375 - $1,114
Government programs also on file: Medicare, Medicaid.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1020 Thompson Street, Jersey Shore, PA 17740
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals