Upper endoscopy with biopsy
Facility: Gifford Medical Center
Billing Code: 43239 (CPT)
One of the lower prices — 6 of 7 other VT hospitals charge more for the same procedure.
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 $209 (about 0.2× the $927 Medicare rate). Gifford Medical Center charges insurers about $197, or about $452 in cash — about the fair price. Located in Randolph, VT.
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 | $128 - $859 | 14% |
| Blue Cross Blue Shieldmajor | $132 - $810 | 14% |
| Aetnamajor | $850 - $859 | 92% |
| Cignamajor | $235 - $723 | 25% |
| Harvard Pilgrim | $568 - $723 | 61% |
| MVP Health Care | $128 - $768 | 14% |
| + 1 smaller / regional plan | $351 - $407 |
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 Gifford Medical Center
Compare: Upper endoscopy with biopsy at other VT hospitals
- North Country Hospital and Health Center · Newport $168
- Porter Hospital Inc · Middlebury $341
- Southwestern Vermont Medical Center · Bennington $349
- 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.