How much does an Upper GI endoscopy with biopsy cost in Pennsylvania?

Upper GI endoscopy with biopsy · CPT 43239 · State: Pennsylvania

In Pennsylvania, the typical insurer-negotiated price for an Upper GI endoscopy with biopsy is about $1,419, with most between $948 and $2,263 ($1,966 cash/self-pay). Based on 130 Pennsylvania hospitals — about the same as the national typical of $1,449. Hospital list charges run about $3,666 (2.6× higher).

Insurer-negotiated
$1,419
Pennsylvania · $948$2,263
Cash / self-pay
$1,966
typical cash price
Hospital list charge
$3,666
2.6× the negotiated rate

Source: medians across 130 Pennsylvania hospitals' published price files (≥5 reporting). See the national Upper GI endoscopy with biopsy cost for the full picture. Estimates vary by hospital, insurer, and plan.

Upper GI endoscopy with biopsy cost in Pennsylvania — FAQs

How much does an Upper GI endoscopy with biopsy cost in Pennsylvania?

In Pennsylvania, the typical insurer-negotiated price for an Upper GI endoscopy with biopsy is about $1,419, with most between $948 and $2,263, based on 130 Pennsylvania hospitals. That's about the same as the national typical of $1,449.

How much does an Upper GI endoscopy with biopsy cost without insurance in Pennsylvania?

Cash or self-pay prices for an Upper GI endoscopy with biopsy in Pennsylvania run around $1,966. Hospitals often bill the higher "list" charge first (about $3,666), so ask for the cash or self-pay rate.

Why is my Pennsylvania hospital bill for an Upper GI endoscopy with biopsy so high?

Pennsylvania hospital "list" charges for an Upper GI endoscopy with biopsy run about $3,666 — roughly 2.6× the $1,419 insurers actually pay there. The list price is rarely what anyone pays; the negotiated and cash rates are the realistic benchmark.

Can I negotiate the cost of an Upper GI endoscopy with biopsy in Pennsylvania?

Yes. If a Pennsylvania hospital charged you well above the typical negotiated rate (about $1,419), that gap is negotiable. Upfronte audits your bill against real Pennsylvania hospital pricing data and negotiates it down on your behalf — no savings, no fee.

Charged more than $1,419 in Pennsylvania?

Upload your bill and Upfronte will check it against real Pennsylvania hospital prices and negotiate overcharges. No savings, no fee.

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