Upper endoscopy with biopsy
Facility: Gundersen Moundview Hospital and Clinics
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 $681 (about 0.7× the $927 Medicare rate). Gundersen Moundview Hospital and Clinics charges insurers about $3,101, or about $1,578 in cash — well above the fair price. Located in Friendship, WI.
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 $681. 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.
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 | $2,781 | 300% |
| Blue Cross Blue Shieldmajor | $1,061 - $5,142 | 115% |
| Aetnamajor | $2,192 - $3,653 | 237% |
| Humanamajor | $1,961 - $3,268 | 212% |
| Amerigroup | $433 | 47% |
| Dean Health Plan | $1,834 - $3,057 | 198% |
| HealthPartners | $1,061 - $3,395 | 115% |
| Quartz | $1,257 - $2,096 | 136% |
| Security Health Plan | $1,061 - $1,769 | 115% |
| UCare | $1,061 - $3,076 | 115% |
| + 5 smaller / regional plans | $1,778 - $3,653 |
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 Gundersen Moundview Hospital and Clinics
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.