Upper endoscopy with biopsy
Facility: UPMC Children's Hospital of Pittsburgh
Billing Code: 43239 (CPT)
Highest price of the 9 PA hospitals we have prices for — worth calling around.
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 $934 (about 1.0× the $927 Medicare rate). UPMC Children's Hospital of Pittsburgh charges insurers about $921, or about $2,966 in cash — about the fair price. Located in Pittsburgh, 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
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 | $1,116 - $2,323 | 120% |
| Blue Cross Blue Shieldmajor | $600 - $3,125 | 65% |
| Aetnamajor | $140 - $2,719 | 15% |
| Cignamajor | $965 - $2,719 | 104% |
| AmeriHealth | $556 - $965 | 60% |
| Geisinger | $611 - $2,222 | 66% |
| HealthPartners | $575 | 62% |
| UPMC Health Plan | $343 - $2,874 | 37% |
| + 7 smaller / regional plans | $517 - $4,449 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at UPMC Children's Hospital of Pittsburgh
Compare: Upper endoscopy with biopsy at other PA hospitals
- Reading Hospital · West Reading $147
- Titusville Area Hospital · Titusville $161
- UPMC Wellsboro · Wellsboro $166
- UPMC Muncy · Muncy $168
- Uniontown Hospital · Uniontown $210
- Allegheny Valley Hospital · Natrona $218
- Allegheny General Hospital · Pittsburgh $218
- Canonsburg General Hospital · Canonsburg $218
Insurance negotiated median for the same procedure, sorted lowest first.