Summary

10 facilities within 25 miles of Richmond publish prices for Upper GI Endoscopy with Biopsy. Cash prices range from $1,372 to $8,022 — a 5.8x difference for an identical procedure. The Virginia average is $3,533.

$1,372 lowest
$8,022 highest
Best Value

Bon Secours Memorial Regional Medical Center

Mechanicsville, VA · Bon Secours Mercy Health · 0.2 mi

$5,542 Cash price
4/5 CMS rating
65.0% Patient satisfaction

Lowest price among hospitals rated 4 stars or above. Patient satisfaction: 65%. Cash price of $5,542 is near the statewide average of $3,533.

All facilities ranked by price

1
Stafford Hospital, LLC 3★ · 0.2 mi · Nonprofit
$1,372
2
Mary Washington Hospital 2★ · 0.2 mi · Nonprofit
$1,372
3
Bon Secours St Francis Medical Center 3★ · 0.2 mi · Nonprofit
$5,087
4
Bon Secours Memorial Regional Medical Center 4★ · 0.2 mi · Nonprofit
$5,542
5
Bon Secours St Marys Hospital 3★ · 0.0 mi · Nonprofit
$5,554
6
Bon Secours Richmond Community Hospital · 0.0 mi · Nonprofit
$8,022
Complete facility data
# Facility Cash Price Gross Charge Markup CMS Stars Patient Rating Ownership
1 Stafford Hospital, LLC Stafford, VA · 0.2 mi $1,372 $2,745 2.0x 3/5 70.0% Nonprofit
2 Mary Washington Hospital Mary Washington Healthcare Fredericksburg, VA · 0.2 mi $1,372 $2,745 2.0x 2/5 61.0% Nonprofit
3 Bon Secours St Francis Medical Center Bon Secours Mercy Health Midlothian, VA · 0.2 mi $5,087 $8,479 1.67x 3/5 71.0% Nonprofit
4 Bon Secours Memorial Regional Medical Center Bon Secours Mercy Health Mechanicsville, VA · 0.2 mi $5,542 $9,237 1.67x 4/5 65.0% Nonprofit
5 Bon Secours St Marys Hospital Bon Secours Mercy Health Richmond, VA · 0.0 mi $5,554 $9,256 1.67x 3/5 66.0% Nonprofit
6 Bon Secours Richmond Community Hospital Bon Secours Mercy Health Richmond, VA · 0.0 mi $8,022 $13,369 1.67x 68.0% Nonprofit
7 Sentara Williamsburg Regional Medical Center Sentara Health Williamsburg, VA · 0.2 mi 4/5 79.0% Nonprofit
8 CJW Medical Center Richmond, VA · 0.0 mi 4/5 64.0% For-profit
9 Henrico Doctors' Hospital HCA Virginia Richmond, VA · 0.0 mi 3/5 69.0% Nonprofit
10 Spotsylvania Regional Medical Center HCA Virginia Fredericksburg, VA · 0.2 mi 3/5 61.0% For-profit

Insurance negotiated rates by facility

The rates below are what each insurer has contractually agreed to pay this hospital for Upper GI Endoscopy with Biopsy. Your actual out-of-pocket cost depends on your deductible status and copay structure.

Bon Secours St Francis Medical Center

Cash: $5,087
Insurance Plan Negotiated Rate vs Cash
UnitedHealthcare $885 -$4,202
UnitedHealthcare $885 -$4,202
Humana $903 -$4,185
Aetna $1,872 -$3,215
Humana $1,872 -$3,215
UnitedHealthcare $1,872 -$3,215
Aetna $1,872 -$3,215

Bon Secours Memorial Regional Medical Center

Cash: $5,542
Insurance Plan Negotiated Rate vs Cash
UnitedHealthcare $910 -$4,632
UnitedHealthcare $910 -$4,632
Aetna $910 -$4,632
Aetna $910 -$4,632
Humana $928 -$4,614
Humana $928 -$4,614
UnitedHealthcare $1,925 -$3,617

Bon Secours St Marys Hospital

Cash: $5,554
Insurance Plan Negotiated Rate vs Cash
UnitedHealthcare $910 -$4,644
Aetna $910 -$4,644
UnitedHealthcare $910 -$4,644
UnitedHealthcare $910 -$4,644
Aetna $910 -$4,644
Humana $928 -$4,626
Humana $928 -$4,626

Bon Secours Richmond Community Hospital

Cash: $8,022
Insurance Plan Negotiated Rate vs Cash
UnitedHealthcare $885 -$7,137
UnitedHealthcare $885 -$7,137
UnitedHealthcare $885 -$7,137
Aetna $885 -$7,137
Aetna $885 -$7,137
Humana $903 -$7,119

Sentara Williamsburg Regional Medical Center

Cash: N/A
Insurance Plan Negotiated Rate
Sentara Health Plan Medicare Managed Care Plan $903
Humana Medicare Managed Care Plan $911
Anthem Anthem Medicare Managed Care Plan $927
UnitedHealthcare Dsnp Medicare Managed Care Plan $929
Anthem Anthem Exchange $2,988
Anthem Anthem Hmo $3,196
Anthem Anthem Ppo $3,329
UnitedHealthcare All Commercial Plans $5,226
UnitedHealthcare Options Ppo $5,790

CJW Medical Center

Cash: N/A
Insurance Plan Negotiated Rate
Anthem HIX $1,704
Universal Healthcare Group MCR $1,995
Anthem HPN $2,162
Anthem HMO $2,343
Anthem PPO $2,343
Bright Health COMM $2,377
UnitedHealthcare NavigateCorePayer $2,449
Lifeworks MCR $2,550
Cigna IFP $3,194
UnitedHealthcare NewBusiness $3,477
UnitedHealthcare SmallBusiness $3,477
UnitedHealthcare AllPayerAppendix $3,863
Cigna HMO $4,816
Cigna PPO $4,816
Optima Health HMO $4,845

3 additional plans not shown.

Henrico Doctors' Hospital

Cash: N/A
Insurance Plan Negotiated Rate
Anthem HIX $1,597
Universal Healthcare Group MCR $1,995
Anthem HPN $2,027
Anthem HMO $2,197
Anthem PPO $2,197
Bright Health COMM $2,377
UnitedHealthcare NavigateCorePayer $2,449
Lifeworks MCR $2,550
Cigna IFP $3,194
UnitedHealthcare NewBusiness $3,477
UnitedHealthcare SmallBusiness $3,477
UnitedHealthcare AllPayerAppendix $3,863
Cigna HMO $4,816
Cigna PPO $4,816
Optima Health HMO $4,845

3 additional plans not shown.

Spotsylvania Regional Medical Center

Cash: N/A
Insurance Plan Negotiated Rate
Anthem HIX $1,735
Cigna IFP $2,217
Bright Health COMM $2,377
Anthem HMO $2,385
Anthem HPN $2,385
Anthem PPO $2,385
Lifeworks MCR $2,550
Cigna HMO $3,273
Cigna PPO $3,273
UnitedHealthcare AllPayerAppendix $3,540
Optima Health HMO $4,845
Optima Health POS $4,845
Optima Health PPO $4,845

Before you call

The data in this report is from each hospital's publicly filed prices. Here's how to use it.

Confirm the price

Call the hospital's billing department and ask for a price estimate or Good Faith Estimate for Upper GI Endoscopy with Biopsy (CPT 43239). Under federal law, they must provide this. Compare it to the published price in this report.

Ask about cash pay

If you haven't met your deductible, ask for the cash/self-pay rate. At many hospitals, the cash price is lower than the insurance-negotiated rate. You can see this in the insurance table above — some negotiated rates exceed the cash price.

Compare before you schedule

You are not required to use the facility your doctor referred you to. You can request a referral to any in-network facility. The same procedure, same quality — sometimes at a fraction of the price.

Ask about financial help

Most nonprofit hospitals in Virginia offer financial assistance to patients based on household income. This is separate from insurance — even insured patients can qualify. Ask billing for their Financial Assistance Policy.

Financial assistance by facility

Nonprofit hospitals are legally required to have financial assistance programs. Below is what we know about each facility's charitable care.

Facility Status Charity Care Provided How to Apply
Stafford Hospital, LLC Nonprofit Call billing, request Financial Assistance application
Mary Washington Hospital Nonprofit Call billing, request Financial Assistance application
Bon Secours St Francis Medical Center Nonprofit Call billing, request Financial Assistance application
Bon Secours Memorial Regional Medical Center Nonprofit Call billing, request Financial Assistance application
Bon Secours St Marys Hospital Nonprofit Call billing, request Financial Assistance application
Bon Secours Richmond Community Hospital Nonprofit Call billing, request Financial Assistance application
Sentara Williamsburg Regional Medical Center Nonprofit Call billing, request Financial Assistance application
CJW Medical Center For-profit N/A (for-profit)
Henrico Doctors' Hospital Nonprofit Call billing, request Financial Assistance application
Spotsylvania Regional Medical Center For-profit N/A (for-profit)

What to do next

  1. Identify your top 2-3 facilities based on price, quality rating, and distance. The data in this report shows that lower price does not mean lower quality — check the star ratings.
  2. Call billing before you schedule. Confirm the published price. Ask for a Good Faith Estimate. Ask whether there's a prompt-pay or cash-pay discount beyond the listed rate.
  3. Check your deductible status. If you haven't met your deductible, compare the cash rate to what you'd owe through insurance. In some cases, paying cash is cheaper than using your plan.
  4. Apply for financial assistance if your household income is under $60,000-$125,000 (thresholds vary). Most eligible patients never apply because they don't know the program exists.
  5. Get everything in writing. Before your procedure, get a written price estimate. After, review the bill line by line. Roughly 80% of hospital bills contain errors (Becker's Hospital Review).

Data sources

Hospital prices
Published machine-readable files, required under CMS Hospital Price Transparency Rule (45 CFR Part 180)
Quality ratings
CMS Hospital Compare, updated quarterly
Patient satisfaction
HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems)
Financial data
CMS Cost Reports (charity care, revenue) and IRS 990 filings (officer compensation)

This report is for informational purposes only. It is not medical advice. Every price shown is a price a hospital published — not an estimate. Actual out-of-pocket costs depend on your insurance plan, deductible status, and clinical circumstances. Consult your healthcare provider and insurer before making decisions.