Upper endoscopy with biopsy
Facility: Southwestern Vermont Medical Center
Billing Code: 43239 (CPT)
A typical price — 4 charge more and 3 charge less, among the 8 VT hospitals compared.
Black dot = this hospital, among the 8 VT hospitals with a price for this procedure. Full list below.
A fair price for a Upper endoscopy with biopsy is about $282 (about 0.3× the $927 Medicare rate). Southwestern Vermont Medical Center charges insurers about $349, or about $571 in cash — above the fair price. Located in Bennington, VT.
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 $282. 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 | $100 - $957 | 11% |
| Blue Cross Blue Shieldmajor | $126 - $957 | 14% |
| Aetnamajor | $126 - $957 | 14% |
| Cignamajor | $126 - $957 | 14% |
| Humanamajor | $126 - $957 | 14% |
| CDPHP | $88 - $957 | 9% |
| Fidelis Care | $126 - $1,005 | 14% |
| Harvard Pilgrim | $208 - $556 | 22% |
| MVP Health Care | $95 - $957 | 10% |
| Tufts Health Plan | $225 - $442 | 24% |
| WellCare | $126 - $957 | 14% |
| + 3 smaller / regional plans | $109 - $957 |
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 Southwestern Vermont Medical Center
Compare: Upper endoscopy with biopsy at other VT hospitals
- North Country Hospital and Health Center · Newport $168
- Gifford Medical Center · Randolph $197
- Porter Hospital Inc · Middlebury $341
- Northeastern Vermont Regional Hospital · Saint Johnsbury $411
- Copley Hospital · Morrisville $482
- Univ. of Vermont - Fletcher Allen Health Care · Burlington $523
- Central Vermont Medical Center · Barre $851
Insurance negotiated median for the same procedure, sorted lowest first.