Upper endoscopy with biopsy
Facility: Sanford Usd Medical Center
Billing Code: 43239 (CPT)
On the higher side — 7 of 8 other SD hospitals charge less.
Black dot = this hospital, among the 9 SD hospitals with a price for this procedure. Full list below.
A fair price for a Upper endoscopy with biopsy is about $981 (about 1.1× the $927 Medicare rate). Sanford Usd Medical Center charges insurers about $953, or about $2,540 in cash — about the fair price. Located in Sioux Falls, SD.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 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 | $966 - $2,797 | 104% |
| Blue Cross Blue Shieldmajor | $402 - $1,140 | 43% |
| Aetnamajor | $966 - $2,429 | 104% |
| Health Net | $2,858 | 308% |
| HealthPartners | $966 - $1,238 | 104% |
| Medica | $2,140 - $2,289 | 231% |
| Sanford Health Plan | $136 - $891 | 15% |
| Security Health Plan | $1,746 | 188% |
| UCare | $950 - $2,232 | 103% |
| + 2 smaller / regional plans | $950 - $2,858 |
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 Sanford Usd Medical Center
Compare: Upper endoscopy with biopsy at other SD hospitals
- Mobridge Regional Hospital - Cah · Mobridge $123
- Douglas County Memorial Hospital-Cah · Armour $146
- Brookings Health System · Brookings $230
- Huron Regional Medical Center · Huron $454
- Faulkton Area Medical Center · Faulkton $624
- Black Hills Surgical Hospital LLC · Rapid City $867
- Monument Health Rapid City Hospital · Rapid City $926
- Sanford Medical Center Aberdeen · Aberdeen $966
Insurance negotiated median for the same procedure, sorted lowest first.