Upper endoscopy with biopsy
Facility: Memorial Medical Center
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 $324 (about 0.3× the $927 Medicare rate). Memorial Medical Center charges insurers about $378, or about $387 in cash — above the fair price. Located in Port Lavaca, 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 $324. 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 | $121 - $728 | 13% |
| Blue Cross Blue Shieldmajor | $283 - $857 | 31% |
| Aetnamajor | $151 - $582 | 16% |
| Cignamajor | $236 | 25% |
| Humanamajor | $302 - $582 | 33% |
| Ambetter (Centene) | $121 - $259 | 13% |
| Amerigroup | $121 - $728 | 13% |
| Health Net | $236 - $582 | 25% |
| Healthcare Highways | $245 - $582 | 26% |
| Molina | $349 - $728 | 38% |
| + 13 smaller / regional plans | $121 - $764 |
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 Memorial Medical Center
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.