Upper endoscopy with biopsy
Facility: Ascension Seton Southwest
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 $828 (about 0.9× the $927 Medicare rate). Ascension Seton Southwest charges insurers about $895 — about the fair price. Located in Austin, TX.
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 | $335 - $927 | 36% |
| Blue Cross Blue Shieldmajor | $335 - $920 | 36% |
| Aetnamajor | $909 | 98% |
| Humanamajor | $909 - $969 | 98% |
| Ambetter (Centene) | $1,635 | 176% |
| Devoted Health | $909 | 98% |
| Oscar Health | $1,000 | 108% |
| WellCare | $909 | 98% |
| WellMed | $890 | 96% |
| + 14 smaller / regional plans | $335 - $1,590 |
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 Ascension Seton Southwest
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.