Upper endoscopy with biopsy
Facility: Prov Sacred Hrt Med Ctr & Childs Hosp.
Billing Code: 43239 (CPT)
Highest price of the 9 WA hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 WA hospitals with a price for this procedure. Full list below.
A fair price for a Upper endoscopy with biopsy is about $1,852 (about 2.0× the $927 Medicare rate). Prov Sacred Hrt Med Ctr & Childs Hosp. charges insurers about $1,845, or about $2,057 in cash — about the fair price. Located in Spokane, WA.
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 | $1,061 - $3,353 | 115% |
| Blue Cross Blue Shieldmajor | $1,092 - $2,353 | 118% |
| Aetnamajor | $1,041 - $16,508 | 112% |
| Cignamajor | $1,213 - $8,066 | 131% |
| Kaiser Permanentemajor | $1,011 - $2,548 | 109% |
| Molina | $1,708 | 184% |
| Providence Health Plan | $2,572 | 278% |
| + 3 smaller / regional plans | $1,112 - $2,436 |
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 Prov Sacred Hrt Med Ctr & Childs Hosp.
Compare: Upper endoscopy with biopsy at other WA hospitals
- Arbor Health Morton Hospital · Morton $124
- Newport Community Hospital · Newport $142
- Prosser Memorial Hospital · Prosser $153
- Lake Chelan Community Hospital · Chelan $172
- Jefferson Healthcare · Port Townsend $187
- Lincoln Hospital · Davenport $190
- Kittitas Valley Community Hospital · Ellensburg $200
- Pullman Regional Hospital · Pullman $209
Insurance negotiated median for the same procedure, sorted lowest first.