Upper GI endoscopy with biopsy in Massachusetts
What Massachusetts hospitals charge for upper gi endoscopy with biopsy (CPT 43239). Rates sourced from federally-mandated machine-readable files.
Hospitals
9
Rate rows
708
Neg. median
$1,155.45
Min
$2.89
Max
$6,201.44
Cash median
$7,163.98
Across 9 Massachusetts hospitals, the negotiated rate for Upper GI endoscopy with biopsy ranges from $2.89 to $6,201.44, with a median of $1,155.45. The interquartile range is $989.2 to $2,299.71. Cash-pay patients typically pay $7,163.98; gross charges median $6,709.7.
By payer in Massachusetts
Top 30 payers for Upper GI endoscopy with biopsy in Massachusetts.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Aetna | 6 | 19 | $2,252.66 |
| UnitedHealthcare | 6 | 59 | $1,177.46 |
| Blue Cross Blue Shield | 6 | 58 | $870.88 |
| Cigna | 6 | 22 | $1,830.5 |
| First Health | 5 | 5 | $2,591.25 |
| hsno/free care [10801] | 4 | 8 | $672.16 |
| mgb mcr [10124] | 4 | 14 | $1,155.45 |
| tufts connectorcare [10507] | 4 | 14 | $1,871.83 |
| hne [11108] | 4 | 4 | $1,558.21 |
| senior whole health [10110] | 4 | 12 | $1,177.46 |
| wellpoint [11112] | 4 | 8 | $1,508.22 |
| institution [10406] | 4 | 40 | $1,465.79 |
| grants [20507] | 4 | 6 | $2,715 |
| tufts us family [11203] | 4 | 12 | $1,100.43 |
| fallon connectorcare [10503] | 4 | 7 | $506 |
| CHAMPVA | 4 | 12 | $1,192.46 |
| tufts [11201] | 4 | 12 | $2,158.43 |
| fallon mcaid carelon hlth [29] | 4 | 4 | $3,455 |
| workers compensation [20501] | 4 | 7 | $963.41 |
| Medicaid | 4 | 44 | $83.37 |
| connecticare [11105] | 4 | 4 | $3,455 |
| harvard pilgrim [10701] | 4 | 24 | $761.55 |
| Medicare | 3 | 11 | $1,100.43 |
| masshealth mcd mbhp [38] | 3 | 3 | $3,455 |
| tufts dual [10111] | 3 | 11 | $1,100.43 |
| fallon mcr [10105] | 3 | 11 | $1,155.45 |
| correctional care [11003] | 3 | 26 | $1,100.43 |
| evernorth behavioral health [27] | 3 | 3 | $2,764 |
| commonwealth care mcr [10115] | 3 | 11 | $1,155.45 |
| Multiplan | 3 | 3 | $2,591.25 |
Hospital comparison — Upper GI endoscopy with biopsy 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 | $1,003.17 | — | $6,328 |
| Beth Israel Deaconess - Plymouth | Plymouth | $1,051.87 | $4,881 | — |
| Umass Memorial Medical Center | Worcester | $1,141.32 | $13,188 | $13,188 |
| Marlborough Hospital | Marlborough | $1,141.32 | $13,188 | $13,188 |
| Healthalliance-Clinton | Leominster | $1,155.45 | $8,154.03 | $8,154.03 |
| Harrington Memorial Hospital | Southbridge | $1,155.45 | $8,081.46 | $8,081.46 |
| North Adams Regional Hospital | North Adams | — | $2,171.1 | $2,285.37 |
| Fairview Hospital | Great Barrington | — | $2,171.1 | $2,285.37 |
| Berkshire Medical Center | Pittsfield | — | $2,171.1 | $2,285.37 |