Upper endoscopy with biopsy
Facility: Texas Orthopedic Hospital
Billing Code: 43239 (CPT)
Highest price of the 9 TX hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.
A fair price for a Upper endoscopy with biopsy is about $1,327 (about 1.4× the $927 Medicare rate). Texas Orthopedic Hospital charges insurers about $2,034 — above the fair price. Located in Houston, TX.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $1,327. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
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 | $359 - $3,400 | 39% |
| Blue Cross Blue Shieldmajor | $1,399 - $2,146 | 151% |
| Aetnamajor | $423 - $3,689 | 46% |
| Cignamajor | $3,099 - $3,993 | 334% |
| Humanamajor | $419 - $4,690 | 45% |
| Amerigroup | $352 | 38% |
| Fidelis Care | $2,115 | 228% |
| Health Net | $328 | 35% |
| Healthcare Highways | $2,434 | 263% |
| Molina | $368 | 40% |
| Oscar Health | $2,979 | 321% |
| WellMed | $916 | 99% |
| + 3 smaller / regional plans | $375 - $2,613 |
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 Texas Orthopedic Hospital
Compare: Upper endoscopy with biopsy at other TX hospitals
- Seymour Hospital · Seymour $100
- Comanche County Medical Center · Comanche $121
- Sweeny Community Hospital · Sweeny $123
- PAM Specialty Hospital of San Antonio Medical Center · San Antonio $132
- PAM Specialty Hospital of Texarkana North · Texarkana $141
- Titus Regional Medical Center · Mount Pleasant $210
- University of Texas M. D. Anderson Cancer Center · Houston $255
- Fort Duncan Medical Center · Eagle Pass $273
Insurance negotiated median for the same procedure, sorted lowest first.