▸ Compare · PriceTransparency
Upper GI endoscopy with biopsy
CPT 43239 · negotiated-rate distribution across hospitals in PA
Hospitals
59
Min
$300.39
Median
$1,146.11
Max
$4,691.7
Range multiplier
15.6×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 35 | 219 | $165.67 | $1,325.98 | $6,300 | 38.0× |
| Aetna | 35 | 195 | $148.58 | $1,808.73 | $6,316 | 42.5× |
| upmc health plan | 33 | 115 | $163.44 | $911.73 | $2,876.01 | 17.6× |
| Cigna | 33 | 103 | $312.23 | $1,650.8 | $7,560 | 24.2× |
| UnitedHealthcare | 31 | 100 | $156.01 | $962.74 | $6,368 | 40.8× |
| pa health & wellness | 25 | 53 | $253.21 | $321.15 | $2,315.52 | 9.1× |
| amerihealth caritas | 30 | 52 | $163.44 | $231.95 | $2,208.32 | 13.5× |
| Multiplan | 11 | 50 | $836.53 | $4,584.06 | $5,774.4 | 6.9× |
| intergroup | 15 | 44 | $849.6 | $3,474.8 | $6,135.3 | 7.2× |
| geisinger | 24 | 42 | $163.44 | $223.86 | $3,937.59 | 24.1× |
| First Health | 13 | 34 | $1,932.7 | $3,108.93 | $5,052.6 | 2.6× |
| Humana | 18 | 29 | $300.33 | $1,757.6 | $6,135.3 | 20.4× |
| upmc work partners | 27 | 27 | $687.55 | $730.25 | $802.19 | 1.2× |
| private health care systems | 13 | 26 | $596 | $2,843.2 | $5,774.4 | 9.7× |
| health partners plans (jefferson health plan) | 17 | 17 | $202.37 | $224.06 | $224.06 | 1.1× |
| keystone first | 4 | 13 | $238.95 | $783.99 | $2,634.16 | 11.0× |
| america's choice | 5 | 12 | $4,701.6 | $4,701.6 | $5,289.3 | 1.1× |
| preferred healthcare system | 6 | 12 | $1,396.5 | $1,396.5 | $4,691.7 | 3.4× |
| wirerope works | 5 | 12 | $2,963.48 | $3,267.61 | $3,267.61 | 1.1× |
| health partners plans | 3 | 9 | $950.44 | $1,670 | $1,670 | 1.8× |
| three rivers provider network | 4 | 8 | $810.12 | $3,049.71 | $5,289.3 | 6.5× |
| pennsylvania health and wellness | 3 | 8 | $331.7 | $1,036.82 | $2,834.49 | 8.5× |
| selectcare | 4 | 8 | $2,484.9 | $4,794.4 | $5,774.4 | 2.3× |
| Medicaid | 2 | 8 | $163.44 | $265.96 | $380.16 | 2.3× |
| health coalition partners | 4 | 6 | $2,484.9 | $2,723.89 | $5,774.4 | 2.3× |
| ibc | 2 | 6 | $1,575 | $1,959 | $3,508.34 | 2.2× |
| health plan of upper ohio valley | 3 | 5 | $893.85 | $911.73 | $1,704.78 | 1.9× |
| national provider network | 2 | 4 | $1,933.36 | $3,001.92 | $4,070.48 | 2.1× |
| gateway health plan | 3 | 4 | $178.3 | $1,006.08 | $1,191.65 | 6.7× |
| keystone autism services | 4 | 4 | $1,433.04 | $1,436.74 | $1,440.78 | 1.0× |
| health payors organization | 2 | 4 | $4,467.6 | $5,301.45 | $6,135.3 | 1.4× |
| elder health | 3 | 3 | $1,118.16 | $1,143.98 | $1,143.98 | 1.0× |
| keystone health plan | 3 | 3 | $2,200.8 | $2,200.8 | $2,581.95 | 1.2× |
| innovage | 3 | 3 | $972.39 | $972.39 | $1,127.48 | 1.2× |
| Medicare | 1 | 3 | $147.69 | $165.88 | $196.95 | 1.3× |
| clover health | 3 | 3 | $987.71 | $1,010.52 | $1,010.52 | 1.0× |
| Anthem BCBS | 1 | 3 | $699 | $1,407.31 | $1,881.91 | 2.7× |
| occunet | 3 | 3 | $1,206.7 | $1,572.98 | $1,572.98 | 1.3× |
| Oscar Health | 3 | 3 | $1,397.7 | $1,429.98 | $1,429.98 | 1.0× |
| prime health services | 3 | 3 | $1,483.24 | $1,517.49 | $1,517.49 | 1.0× |
| univera | 1 | 3 | $781.05 | $1,718.31 | $2,291.08 | 2.9× |
| jup geisinger commercial | 1 | 3 | $265.81 | $297.86 | $350.65 | 1.3× |
| fidelis | 2 | 3 | $1,031.62 | $5,413.5 | $5,413.5 | 5.2× |
| naphcare | 2 | 2 | $1,429.98 | $1,429.98 | $1,429.98 | 1.0× |
| city of washington | 2 | 2 | $1,787.7 | $1,787.7 | $1,787.7 | 1.0× |
| galaxy health plan | 1 | 2 | $849.6 | $849.6 | $849.6 | 1.0× |
| independent health | 1 | 2 | $1,300.05 | $1,356.29 | $1,412.52 | 1.1× |
| jup health partners chip | 1 | 2 | $299.96 | $300.18 | $300.39 | 1.0× |
| abington pro ibc | 1 | 2 | $144.92 | $162.69 | $180.47 | 1.2× |
| pa health_wellness chc | 1 | 2 | $193.15 | $279.23 | $365.3 | 1.9× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| UPMC PINNACLE HOSPITALS | HARRISBURG | PA | 12 | — | — | $200.58 | $977.6 | $3,485 |
| COMMUNITY GENERAL OSTEOPATHIC HOSP. | HARRISBURG | PA | 12 | — | — | $200.58 | $977.6 | $3,485 |
| UPMC CHILDRENS HOSPITAL OF PGH | PITTSBURGH | PA | 12 | $2,793 | $1,675.8 | $148.58 | $965.36 | $2,524.07 |
| ALTOONA REGIONAL HEALTH SYSTEM | ALTOONA | PA | 12 | $2,793 | $1,675.8 | $148.58 | $965.36 | $2,524.07 |
| UPMC MAGEE-WOMENS HOSPITAL | PITTSBURGH | PA | 12 | $2,793 | $1,675.8 | $148.58 | $965.36 | $2,524.07 |
| THE CHILDRENS HOME OF PITTSBURGH | PITTSBURGH | PA | 12 | $2,793 | $1,675.8 | $148.58 | $965.36 | $2,524.07 |
| UPMC JAMESON | NEW CASTLE | PA | 13 | $2,197 | $1,318.2 | $163.44 | $959.26 | $2,316.5 |
| MEMORIAL HOSPITAL | YORK | PA | 11 | — | — | $188.7 | $943.98 | $5,035 |
| UPMC LITITZ | LITITZ | PA | 10 | — | — | $188.7 | $942.36 | $5,035 |
| UPMC CARLISLE | CARLISLE | PA | 12 | — | — | $188.7 | $916.18 | $5,035 |
| UPMC HANOVER | HANOVER | PA | 12 | — | — | $188.7 | $914.91 | $5,035 |
| WHS - GREENE | WAYNESBURG | PA | 8 | — | — | $170.87 | $911.73 | $2,061.4 |
| THE WASHINGTON HOSPITAL | WASHINGTON | PA | 8 | — | — | $170.87 | $911.73 | $2,061.4 |
| CURAHEALTH HERITAGE VALLEY | BEAVER | PA | 9 | $1,325.98 | $358.01 | $148.58 | $878.1 | $1,325.98 |
| CHARLES COLE MEMORIAL HOSPITAL | COUDERSPORT | PA | 13 | $1,062 | $637.2 | $156.01 | $796.5 | $2,316.5 |
| UPMC SHADYSIDE | PITTSBURGH | PA | 20 | $7,218 | $4,330.8 | $163.44 | $4,691.7 | $6,135.3 |
| WELLSBORO | WELLSBORO | PA | 14 | $5,877 | $4,264 | $163.44 | $3,910.09 | $5,583.15 |
| ARIA HEALTH | PHILADELPHIA | PA | 12 | $3,942 | $1,023.55 | $144.92 | $300.39 | $4,204 |
| MUNCY VALLEY HOSPITAL | MUNCY | PA | 15 | $5,877 | $3,526.2 | $163.44 | $2,944.38 | $5,583.15 |
| WILLIAMSPORT HOSPITAL & MEDICAL CTR | WILLIAMSPORT | PA | 15 | $5,877 | $3,526.2 | $163.44 | $2,803.33 | $5,289.3 |
| DIVINE PROVIDENCE HOSPITAL | WILLIAMSPORT | PA | 15 | $5,877 | $3,526.2 | $163.44 | $2,803.33 | $5,289.3 |
| LOCK HAVEN HOSPITAL | LOCK HAVEN | PA | 15 | $5,877 | $3,526.2 | $163.44 | $2,803.33 | $5,289.3 |
| UPMC ST MARGARET | PITTSBURGH | PA | 12 | $6,930 | $4,158 | $163.44 | $1,988.91 | $5,890.5 |
| UPMC MCKEESPORT | MCKEESPORT | PA | 13 | $5,056 | $3,033.6 | $163.44 | $1,964.26 | $4,297.6 |
| UPMC EAST HOSPITAL | MONROEVILLE | PA | 13 | $5,092 | $3,055.2 | $163.44 | $1,945.14 | $4,393.81 |
| UPMC NORTHWEST HOSPITAL | SENECA | PA | 13 | $3,554 | $2,132.4 | $163.44 | $1,894.12 | $3,704 |
| UPMC MERCY HOSPITAL | PITTSBURGH | PA | 16 | $4,964 | $2,978.4 | $163.44 | $1,886.32 | $4,520.78 |
| UPMC BEDFORD MEMORIAL HOSPITAL | EVERETT | PA | 17 | $2,761 | $1,656.6 | $156.01 | $1,711.82 | $2,493.18 |
| UPMC HORIZON HOSPITAL | GREENVILLE | PA | 17 | $4,127 | $2,476.2 | $163.44 | $1,609.53 | $3,507.95 |
| THOMAS JEFFERSON UNIV. HOSPITAL | PHILADELPHIA | PA | 8 | $2,759 | $1,071.57 | $193.15 | $1,563.5 | $7,560 |
| UPMC HAMOT | ERIE | PA | 16 | $5,207 | $3,124.2 | $163.44 | $1,473.76 | $4,165.6 |
| UPMC PASSAVANT | PITTSBURGH | PA | 14 | $3,690 | $2,214 | $163.44 | $1,254.6 | $4,393.81 |
| TEMPLE UNIVERSITY HOSPITAL | PHILADELPHIA | PA | 20 | $6,328 | — | $208.01 | $1,191.65 | $6,368 |
| AMERICAN ONCOLOGIC HOSPIAL | PHILADELPHIA | PA | 16 | $6,328 | — | $238.95 | $1,146.11 | $6,316 |
| JEANES HOSPITAL | PHILADELPHIA | PA | 18 | $6,328 | — | $280.15 | $1,048.65 | $4,300 |
| LATROBE AREA HOSPITAL | LATROBE | PA | 0 | $1,900 | $1,140 | — | — | — |
| PRESBYTERIAN MEDICAL CENTER | PHILADELPHIA | PA | 0 | $4,273 | $4,273 | — | — | — |
| PENNSYLVANIA HOSPITAL OF UPHS | PHILADELPHIA | PA | 0 | $4,134 | $4,134 | — | — | — |
| MILTON S. HERSHEY MEDICAL CENTER | HERSHEY | PA | 0 | $6,094 | $2,018.94 | — | — | — |
| PHYSICIANS CARE SURGICAL HOSPITAL | ROYERSFORD | PA | 0 | $5,944 | $10,218 | — | — | — |
| HAMPDEN MEDICAL CENTER | ENOLA | PA | 0 | $6,094 | $1,917.78 | — | — | — |
| MEYERSDALE COMMUNITY HOSPITAL | MEYERSDALE | PA | 0 | $2,814.49 | $1,125.8 | — | — | — |
| READING HOSPITAL AND MEDICAL CENTER | READING | PA | 0 | $408 | $285.6 | — | — | — |
| MINERS HOSPITAL | HASTINGS | PA | 0 | $2,792.2 | $1,116.88 | — | — | — |
| UNIONTOWN HOSPITAL | UNIONTOWN | PA | 0 | $2,453 | $1,226.5 | — | — | — |
| LIFECARE HOSPITALS OF CHESTER COUNTY | WEST CHESTER | PA | 0 | $475 | $475 | — | — | — |
| PENN STATE HERSHEY REHABILITATION LL | HUMMELSTOWN | PA | 0 | $6,094 | $1,585.05 | — | — | — |
| WINDBER HOSPITAL INC. | WINDBER | PA | 0 | $613 | $521.05 | — | — | — |
| HOLY SPIRIT HOSPITAL | CAMP HILL | PA | 0 | $6,094 | $1,455.86 | — | — | — |
| HOSPITAL OF THE UNIV OF PENNA | PHILADELPHIA | PA | 0 | $4,134 | $4,134 | — | — | — |
| WAYNE MEMORIAL HOSPITAL | HONESDALE | PA | 0 | $1,968 | $1,377.6 | — | — | — |
| MINERS HOSPITAL | HASTINGS | PA | 0 | $2,792.2 | $1,116.88 | — | — | — |
| WESTMORELAND REGIONAL HOSPITAL | GREENSBURG | PA | 0 | $1,900 | $1,140 | — | — | — |
| ST. JOSEPH MEDICAL CENTER | READING | PA | 0 | $6,094 | $1,585.05 | — | — | — |
| BUTLER MEMORIAL HOSPITAL | BUTLER | PA | 0 | — | — | — | — | — |
| THE CHESTER COUNTY HOSPITAL | WEST CHESTER | PA | 0 | $475 | $475 | — | — | — |
| DOYLESTOWN HOSPITAL | DOYLESTOWN | PA | 0 | $4,686.5 | $4,686.5 | — | — | — |
| CLARION HOSPITAL | CLARION | PA | 0 | — | — | — | — | — |
| FRICK HOSPITAL | MOUNT PLEASANT | PA | 0 | $1,900 | $1,140 | — | — | — |
Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.