CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Sentara Northern Virginia Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,793
about 1.9× the $927 Medicare rate · typically $1,009–$2,703
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,889
About the fair price
about $96 over the fair price · 2.0× Medicare
Medicare pays $927 Fair price $1,793 This hospital $1,889

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

Highest price of the 9 VA hospitals we have prices for — worth calling around.

Cheapest $813 Priciest $1,889

Black dot = this hospital, among the 9 VA hospitals with a price for this procedure. Full list below.

A fair price for a Upper endoscopy with biopsy is about $1,793 (about 1.9× the $927 Medicare rate). Sentara Northern Virginia Medical Center charges insurers about $1,889 — about the fair price. Located in Woodbridge, VA.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

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 $929 - $2,464 100%
Blue Cross Blue Shieldmajor $927 - $2,091 100%
Aetnamajor $903 97%
Cignamajor $3,486 - $3,790 376%
Humanamajor $911 98%

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Facility Profile & Credentials

  • Address: 2300 Opitz Boulevard, Woodbridge, VA 22191
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals