Upper GI endoscopy diagnostic in Massachusetts
What Massachusetts hospitals charge for upper gi endoscopy diagnostic (CPT 43235). Rates sourced from federally-mandated machine-readable files.
Hospitals
9
Rate rows
629
Neg. median
$1,141.32
Min
$2.89
Max
$5,350
Cash median
$2,522.99
Across 9 Massachusetts hospitals, the negotiated rate for Upper GI endoscopy diagnostic ranges from $2.89 to $5,350, with a median of $1,141.32. The interquartile range is $931.8 to $1,848.94. Cash-pay patients typically pay $2,522.99; gross charges median $2,655.78.
By payer in Massachusetts
Top 30 payers for Upper GI endoscopy diagnostic in Massachusetts.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Aetna | 6 | 19 | $1,975 |
| UnitedHealthcare | 6 | 43 | $1,163.06 |
| Blue Cross Blue Shield | 6 | 56 | $870.88 |
| Cigna | 6 | 21 | $1,660 |
| First Health | 5 | 5 | $2,271.75 |
| hsno/free care [10801] | 4 | 8 | $672.16 |
| mgb mcr [10124] | 4 | 10 | $1,141.32 |
| workers compensation [20501] | 4 | 5 | $995.63 |
| hne [11108] | 4 | 4 | $1,459.44 |
| tufts us family [11203] | 4 | 8 | $1,093.7 |
| harvard pilgrim [10701] | 4 | 24 | $761.55 |
| institution [10406] | 4 | 32 | $1,100.43 |
| CHAMPVA | 4 | 8 | $1,192.46 |
| Medicaid | 4 | 35 | $9.49 |
| senior whole health [10110] | 4 | 8 | $1,170.26 |
| tufts connectorcare [10507] | 4 | 10 | $1,848.94 |
| wellpoint [11112] | 4 | 8 | $1,508.22 |
| fallon mcaid carelon hlth [29] | 4 | 4 | $3,132.5 |
| grants [20507] | 4 | 6 | $2,502 |
| tufts [11201] | 4 | 12 | $2,158.43 |
| connecticare [11105] | 4 | 4 | $3,132.5 |
| Medicare | 3 | 7 | $1,086.97 |
| masshealth mcd mbhp [38] | 3 | 3 | $3,236 |
| tufts dual [10111] | 3 | 7 | $1,086.97 |
| fallon mcr [10105] | 3 | 7 | $1,141.32 |
| correctional care [11003] | 3 | 16 | $1,093.7 |
| Multiplan | 3 | 3 | $2,427 |
| evernorth behavioral health [27] | 3 | 3 | $2,588.8 |
| commonwealth care mcr [10115] | 3 | 7 | $1,141.32 |
| eternalhealth mcr replace [10116] | 2 | 4 | $1,141.32 |
Hospital comparison — Upper GI endoscopy diagnostic in Massachusetts
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Chestnut Hill Benevolent Association | Chestnut Hill | $989.2 | — | $3,937 |
| Beth Israel Deaconess - Plymouth | Plymouth | $1,051.87 | $4,881 | — |
| Harrington Memorial Hospital | Southbridge | $1,141.32 | $6,851.82 | $6,851.82 |
| Marlborough Hospital | Marlborough | $1,141.32 | $8,913.31 | $8,913.31 |
| Umass Memorial Medical Center | Worcester | $1,141.32 | $8,913.31 | $8,913.31 |
| Healthalliance-Clinton | Leominster | $1,508.22 | $5,703.12 | $5,703.12 |
| North Adams Regional Hospital | North Adams | — | $1,819.21 | $1,914.96 |
| Fairview Hospital | Great Barrington | — | $1,819.21 | $1,914.96 |
| Berkshire Medical Center | Pittsfield | — | $1,819.21 | $1,914.96 |