Upper endoscopy with biopsy
Facility: Prisma Health Baptist
Billing Code: 43239 (CPT)
Highest price of the 9 SC hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 SC hospitals with a price for this procedure. Full list below.
A fair price for a Upper endoscopy with biopsy is about $913 (about 1.0× the $927 Medicare rate). Prisma Health Baptist charges insurers about $916, or about $1,901 in cash — about the fair price. Located in Columbia, SC.
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
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 | $450 - $5,798 | 49% |
| Blue Cross Blue Shieldmajor | $833 - $1,999 | 90% |
| Aetnamajor | $916 - $2,311 | 99% |
| Cignamajor | $872 - $2,030 | 94% |
| Humanamajor | $872 - $2,221 | 94% |
| Ambetter (Centene) | $1,605 | 173% |
| Molina | $916 | 99% |
| WellCare | $916 | 99% |
| + 17 smaller / regional plans | $679 - $5,798 |
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 Prisma Health Baptist
Compare: Upper endoscopy with biopsy at other SC hospitals
- Cannon Memorial Hospital · Pickens $178
- Anmed Health · Anderson $218
- Conway Medical Center · Conway $332
- MUSC Medical Center · Charleston $856
- MUSC Health Black River Medical Center · Cades $858
- Prisma Health Greer Memorial Hospital · Spartanburg $865
- Piedmont Medical Center · Rock Hill $866
- Novant Health Hilton Head Medical Center · Hilton Head Island $886
Insurance negotiated median for the same procedure, sorted lowest first.