Upper endoscopy with biopsy
Facility: Froedtert Memorial Lutheran Hospital
Billing Code: 43239 (CPT)
Highest price of the 9 WI hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.
A fair price for a Upper endoscopy with biopsy is about $1,240 (about 1.3× the $927 Medicare rate). Froedtert Memorial Lutheran Hospital charges insurers about $953 — below the fair price — a good deal. Located in Milwaukee, WI.
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 | $953 - $6,766 | 103% |
| Blue Cross Blue Shieldmajor | $953 - $4,258 | 103% |
| Aetnamajor | $972 | 105% |
| Humanamajor | $953 | 103% |
| Health Net | $4,714 | 509% |
| HealthPartners | $953 | 103% |
| Molina | $953 | 103% |
| Priority Health | $953 | 103% |
| Quartz | $953 | 103% |
| Security Health Plan | $953 | 103% |
| WellCare | $972 | 105% |
| + 5 smaller / regional plans | $953 - $4,352 |
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 Froedtert Memorial Lutheran Hospital
Compare: Upper endoscopy with biopsy at other WI hospitals
- Crossing Rivers Health Medical Center · Prairie Du Chien $116
- Richland Hospital · Richland Center $133
- Memorial Hospital of Lafayette County · Darlington $145
- Stoughton Hospital · Stoughton $155
- Grant Regional Health Center · Lancaster $185
- Tomah Memorial Hospital · Tomah $192
- Unitypoint Health - Meriter · Madison $414
- Black River Memorial Hospital · Black River Falls $438
Insurance negotiated median for the same procedure, sorted lowest first.