Upper endoscopy with biopsy
Facility: Spotsylvania Regional Medical Center
Billing Code: 43239 (CPT)
Highest price of the 9 VA hospitals we have prices for — worth calling around.
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 $2,462 (about 2.7× the $927 Medicare rate). Spotsylvania Regional Medical Center charges insurers about $2,550 — about the fair price. Located in Fredericksburg, VA.
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 | $3,540 | 382% |
| Blue Cross Blue Shieldmajor | $1,735 - $2,385 | 187% |
| Cignamajor | $2,217 - $3,273 | 239% |
| Bright Health | $2,377 | 257% |
| Sentara | $4,845 | 523% |
| + 1 smaller / regional plan | $2,550 |
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 Spotsylvania Regional Medical Center
Compare: Upper endoscopy with biopsy at other VA hospitals
- Carilion Medical Center · Roanoke $813
- Carilion New River Valley Medical Center · Christiansburg $813
- Carilion Franklin Memorial Hospital · Rocky Mount $813
- Carilion Tazewell Community Hospital · Tazewell $813
- Carilion Giles Community Hospital · Pearisburg $813
- Carilion Stonewall Jackson Hospital · Lexington $813
- Bon Secours Richmond Community Hospital · Richmond $885
- Smyth County Community Hospital · Marion $916
Insurance negotiated median for the same procedure, sorted lowest first.