CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Magee Memorial Hospital for Convalescents

Billing Code: 43239 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$568
about 0.6× the $927 Medicare rate · typically $187–$1,662
modeled estimate · not a bill or quote
What this hospital charges insurers
$239
Below the fair price — a good deal
about $329 under the fair price · 0.3× Medicare
Medicare pays $927 Fair price $568 This hospital $239 Cash price $1,089 Hospital's list price $1,827

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 $239

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Upper endoscopy with biopsy is about $568 (about 0.6× the $927 Medicare rate). Magee Memorial Hospital for Convalescents charges insurers about $239, or about $1,089 in cash — below the fair price — a good deal. 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.

1 of 6 major insurers have a published price at this hospital

✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser 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
Aetnamajor $196 21%
Geisinger $201 - $380 22%
+ 2 smaller / regional plans $193 - $365
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1513 Race Street, Philadelphia, PA 19102
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL