Upper endoscopy with biopsy
Facility: The Miriam Hospital
Billing Code: 43239 (CPT)
On the higher side — 3 of 4 other RI hospitals charge less.
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 $1,734 (about 1.9× the $927 Medicare rate). The Miriam Hospital charges insurers about $1,864, or about $3,153 in cash — about the fair price. Located in Providence, 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 | $826 - $4,099 | 89% |
| Blue Cross Blue Shieldmajor | $835 - $1,956 | 90% |
| Aetnamajor | $1,043 | 113% |
| Cignamajor | $5,727 | 618% |
| Harvard Pilgrim | $3,024 | 326% |
| Tufts Health Plan | $2,563 | 277% |
| + 1 smaller / regional plan | $1,864 |
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 The Miriam Hospital
Compare: Upper endoscopy with biopsy at other RI hospitals
- South County Hospital Inc · Wakefield $965
- Landmark Medical Center · Woonsocket $1,015
- Newport Hospital · Newport $1,846
- Rhode Island Hospital · Providence $1,875
Insurance negotiated median for the same procedure, sorted lowest first.