Upper endoscopy with biopsy
Facility: Northeastern Vermont Regional Hospital
Billing Code: 43239 (CPT)
A typical price — 3 charge more and 4 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 $373 (about 0.4× the $927 Medicare rate). Northeastern Vermont Regional Hospital charges insurers about $411, or about $395 in cash — about the fair price. Located in Saint Johnsbury, VT.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 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 | $98 - $598 | 11% |
| Blue Cross Blue Shieldmajor | $195 - $234 | 21% |
| Harvard Pilgrim | $96 - $586 | 10% |
| + 1 smaller / regional plan | $190 - $411 |
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 Northeastern Vermont Regional Hospital
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
- Southwestern Vermont Medical Center · Bennington $349
- 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.