Upper endoscopy with biopsy
Facility: Landmark Medical Center
Billing Code: 43239 (CPT)
One of the lower prices — 3 of 4 other RI hospitals charge more for the same procedure.
Black dot = this hospital, among the 5 RI hospitals with a price for this procedure. Full list below.
A fair price for a Upper endoscopy with biopsy is about $1,216 (about 1.3× the $927 Medicare rate). Landmark Medical Center charges insurers about $1,015, or about $1,014 in cash — below the fair price — a good deal. Located in Woonsocket, RI.
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 | $1,015 - $5,510 | 110% |
| Blue Cross Blue Shieldmajor | $948 - $1,457 | 102% |
| Aetnamajor | $1,015 | 110% |
| Humanamajor | $1,015 | 110% |
| Tufts Health Plan | $520 - $1,015 | 56% |
| WellCare | $1,035 | 112% |
| + 3 smaller / regional plans | $902 - $1,900 |
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 Landmark Medical Center
Compare: Upper endoscopy with biopsy at other RI hospitals
- South County Hospital Inc · Wakefield $965
- Newport Hospital · Newport $1,846
- The Miriam Hospital · Providence $1,864
- Rhode Island Hospital · Providence $1,875
Insurance negotiated median for the same procedure, sorted lowest first.