Techy SurgeonPrice AtlasInteractive atlas · All states · techysurgeon.com

Upper endoscopy (EGD) with biopsy in Pennsylvania: what insurers pay

Posted commercial rates at 21 Pennsylvania hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 43239

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Washington Washington$1,6321.9×22026-03-06
Upmc Mercy Pittsburgh$1,9222.2×12026-03-06
Jefferson Hospital Jefferson Hills$2,1972.5×52026-04-14
Allegheny Valley Hospital Natrona$2,2772.6×52026-04-14
Upmc Passavant Pittsburgh$2,3922.7×12026-03-07
Upmc St Margaret Pittsburgh$2,4942.8×12026-03-06
Upmc East Monroeville$2,4942.8×12026-03-06
Jefferson Einstein Montgomery Hospital East Norriton$2,5682.9×52026-09-15
Forbes Hospital Monroeville$2,5712.9×52026-04-14
Jefferson Abington Hospital Abington$2,7043.1×52026-09-15
Ahn Wexford Hospital Wexford$2,7423.1×52026-04-14
Temple University Hospital Philadelphia$2,8213.0×62026-04-13
Magee Womens Hospital Of Upmc Health System Pittsburgh$2,8903.3×12026-03-06
Allegheny General Hospital Pittsburgh$2,9933.4×52026-04-14
Jefferson Health-Northeast Philadelphia$3,4063.6×52026-09-15
Riddle Memorial Hospital Media$3,4533.7×22026-04-01
Paoli Hospital Paoli$3,5984.1×22026-04-01
Bryn Mawr Hospital Bryn Mawr$3,6403.9×22026-04-01
Lankenau Medical Center Wynnewood$3,6804.2×22026-04-01
Upmc Presbyterian Shadyside Pittsburgh$4,3875.0×12026-03-06
Thomas Jefferson University Hospital Philadelphia$5,0905.5×42026-09-15

Questions

How much do insurers pay for upper endoscopy (egd) with biopsy in Pennsylvania?

21 Pennsylvania hospitals post usable commercial rates for upper endoscopy (egd) with biopsy in their federal price-transparency files. For CPT 43239, hospital outpatient, the median across 21 hospitals is $2,742, 3.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.