Upper endoscopy with biopsy
Facility: Prisma Health Patewood Hospital
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 $927 (about 1.0× the $927 Medicare rate). Prisma Health Patewood Hospital charges insurers about $908, or about $1,901 in cash — about the fair price. Located in Greenville, 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 - $4,399 | 49% |
| Blue Cross Blue Shieldmajor | $833 - $3,439 | 90% |
| Aetnamajor | $908 - $2,311 | 98% |
| Cignamajor | $865 - $2,030 | 93% |
| Humanamajor | $882 - $2,221 | 95% |
| Ambetter (Centene) | $1,591 | 172% |
| Molina | $951 | 103% |
| MVP Health Care | $2,030 | 219% |
| WellCare | $908 | 98% |
| + 23 smaller / regional plans | $679 - $4,399 |
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 Patewood Hospital
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.