▸ Compare · PriceTransparency
Upper GI endoscopy with biopsy
CPT 43239 · negotiated-rate distribution across hospitals in MA
Hospitals
9
Min
$1,003.17
Median
$1,141.32
Max
$1,155.45
Range multiplier
1.2×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 6 | 59 | $22.71 | $1,177.46 | $4,584 | 201.8× |
| Blue Cross Blue Shield | 6 | 58 | $52.12 | $870.88 | $3,455 | 66.3× |
| Medicaid | 4 | 44 | $2.89 | $83.37 | $2,328.18 | 805.6× |
| institution [10406] | 4 | 40 | $7.59 | $1,465.79 | $3,455 | 455.2× |
| correctional care [11003] | 3 | 26 | $1,086.97 | $1,100.43 | $4,770.98 | 4.4× |
| harvard pilgrim [10701] | 4 | 24 | $745.36 | $761.55 | $761.55 | 1.0× |
| Cigna | 6 | 22 | $701.92 | $1,830.5 | $4,770.98 | 6.8× |
| Aetna | 6 | 19 | $24.88 | $2,252.66 | $5,758.48 | 231.5× |
| tufts connectorcare [10507] | 4 | 14 | $1,848.94 | $1,871.83 | $3,960.23 | 2.1× |
| mgb mcr [10124] | 4 | 14 | $1,100.43 | $1,155.45 | $2,444.58 | 2.2× |
| senior whole health [10110] | 4 | 12 | $1,163.06 | $1,177.46 | $2,491.15 | 2.1× |
| CHAMPVA | 4 | 12 | $1,002.07 | $1,192.46 | $2,412.74 | 2.4× |
| tufts us family [11203] | 4 | 12 | $1,086.97 | $1,100.43 | $2,328.18 | 2.1× |
| tufts [11201] | 4 | 12 | $701.92 | $2,158.43 | $2,374.3 | 3.4× |
| tufts mcr supp [20209] | 2 | 12 | $570.66 | $1,141.32 | $2,414.7 | 4.2× |
| commonwealth care mcr [10115] | 3 | 11 | $1,141.32 | $1,155.45 | $2,444.58 | 2.1× |
| tufts dual [10111] | 3 | 11 | $1,086.97 | $1,100.43 | $2,328.18 | 2.1× |
| Medicare | 3 | 11 | $1,086.97 | $1,100.43 | $2,328.18 | 2.1× |
| fallon mcr [10105] | 3 | 11 | $1,141.32 | $1,155.45 | $2,444.58 | 2.1× |
| eternalhealth mcr replace [10116] | 2 | 8 | $1,141.32 | $1,148.39 | $2,414.7 | 2.1× |
| harvard pilgrim mcr supp [20203] | 2 | 8 | $1,141.32 | $1,148.39 | $2,414.7 | 2.1× |
| wellpoint [11112] | 4 | 8 | $1,508.22 | $1,508.22 | $1,508.22 | 1.0× |
| hsno/free care [10801] | 4 | 8 | $294.3 | $672.16 | $680.81 | 2.3× |
| workers compensation [20501] | 4 | 7 | $379.98 | $963.41 | $1,382 | 3.6× |
| fallon connectorcare [10503] | 4 | 7 | $506 | $506 | $2,736.94 | 5.4× |
| grants [20507] | 4 | 6 | $6.52 | $2,715 | $3,805 | 583.6× |
| fallon mcr supp [20202] | 2 | 6 | $1,155.45 | $1,155.45 | $2,444.58 | 2.1× |
| tufts mcr [10112] | 2 | 6 | $1,155.45 | $1,155.45 | $2,444.58 | 2.1× |
| First Health | 5 | 5 | $60 | $2,591.25 | $2,853.75 | 47.6× |
| connecticare [11105] | 4 | 4 | $1,975 | $3,455 | $3,805 | 1.9× |
| hne [11108] | 4 | 4 | $1,285.33 | $1,558.21 | $2,122.81 | 1.7× |
| fallon mcaid carelon hlth [29] | 4 | 4 | $1,975 | $3,455 | $3,805 | 1.9× |
| geisinger | 1 | 3 | $969.07 | $2,050 | $3,555.07 | 3.7× |
| masshealth mcd mbhp [38] | 3 | 3 | $1,975 | $3,455 | $3,455 | 1.7× |
| Multiplan | 3 | 3 | $2,591.25 | $2,591.25 | $2,853.75 | 1.1× |
| pennsylvania health and wellness | 1 | 3 | $978.39 | $1,000 | $1,723.83 | 1.8× |
| evernorth behavioral health [27] | 3 | 3 | $1,580 | $2,764 | $2,764 | 1.7× |
| commonwealth care alliance [10103] | 1 | 3 | $1,155.45 | $1,155.45 | $2,444.58 | 2.1× |
| upmc health plan | 1 | 3 | $208.01 | $297.16 | $978.39 | 4.7× |
| harvard pilgrim mcr [10106] | 1 | 3 | $1,155.45 | $1,155.45 | $2,444.58 | 2.1× |
| fidelis care | 1 | 2 | $25.96 | $538.92 | $1,051.87 | 40.5× |
| fallon carelon hlth [28] | 2 | 2 | $1,975 | $2,890 | $3,805 | 1.9× |
| wellfleet [11106] | 2 | 2 | $3,109.5 | $3,109.5 | $3,109.5 | 1.0× |
| optum transplant [20601] | 2 | 2 | $3,455 | $3,455 | $3,455 | 1.0× |
| wellpoint | 1 | 2 | $1,051.87 | $2,158.94 | $3,266 | 3.1× |
| qualcare inc | 1 | 2 | $87 | $1,852 | $3,617 | 41.6× |
| automobile [10401] | 2 | 2 | $3,455 | $3,455 | $3,455 | 1.0× |
| devon health | 1 | 2 | $6,201.44 | $6,201.44 | $6,201.44 | 1.0× |
| amerihealth | 1 | 2 | $37.03 | $41.97 | $46.91 | 1.3× |
| health partners plans | 1 | 2 | $978.39 | $1,096.2 | $1,214 | 1.2× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| HARRINGTON MEMORIAL HOSPITAL | SOUTHBRIDGE | MA | 31 | $9,769.19 | $9,769.19 | $55.91 | $1,155.45 | $3,960.23 |
| HEALTHALLIANCE-CLINTON | LEOMINSTER | MA | 32 | $14,790 | $14,790 | $55.58 | $1,155.45 | $4,409.2 |
| MARLBOROUGH HOSPITAL | MARLBOROUGH | MA | 38 | $17,413 | $17,413 | $2.89 | $1,141.32 | $4,770.98 |
| UMASS MEMORIAL MEDICAL CENTER | WORCESTER | MA | 38 | $17,413 | $17,413 | $2.89 | $1,141.32 | $4,770.98 |
| BETH ISRAEL DEACONESS - PLYMOUTH | PLYMOUTH | MA | 13 | — | $4,881 | $22.71 | $1,051.87 | $4,908 |
| CHESTNUT HILL BENEVOLENT ASSOCIATION | CHESTNUT HILL | MA | 19 | $6,328 | — | $208.01 | $1,003.17 | $6,201.44 |
| NORTH ADAMS REGIONAL HOSPITAL | NORTH ADAMS | MA | 0 | $2,655.78 | $2,522.99 | — | — | — |
| FAIRVIEW HOSPITAL | GREAT BARRINGTON | MA | 0 | $2,655.78 | $2,522.99 | — | — | — |
| BERKSHIRE MEDICAL CENTER | PITTSFIELD | MA | 0 | $2,655.78 | $2,522.99 | — | — | — |
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.