Upper endoscopy with biopsy
Facility: UMass Memorial Health - Harrington Hospital
Billing Code: 43239 (CPT)
Highest price of the 9 MA hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 MA hospitals with a price for this procedure. Full list below.
⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.
A fair price for a Upper endoscopy with biopsy is about $1,177 (about 1.3× the $927 Medicare rate). UMass Memorial Health - Harrington Hospital charges insurers about $1,155, or about $8,081 in cash — about the fair price. Located in Southbridge, MA.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $1,155 - $2,491 | 125% |
| Blue Cross Blue Shieldmajor | $871 - $2,405 | 94% |
| Aetnamajor | $1,155 - $2,445 | 125% |
| Cignamajor | $702 - $2,328 | 76% |
| Harvard Pilgrim | $745 | 80% |
| Tufts Health Plan | $702 - $3,960 | 76% |
| WellSense | $1,975 | 213% |
| + 13 smaller / regional plans | $506 - $2,491 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at UMass Memorial Health - Harrington Hospital
Compare: Upper endoscopy with biopsy at other MA hospitals
- Metrowest Medical Center · Framingham $380
- St Vincent Hospital · Worcester $380
- North Adams Regional Hospital Corporation · North Adams $763
- Fairview Hospital · Great Barrington $803
- Cambridge Health Alliance · Cambridge $871
- Newton-Wellesley Hospital · Newton $871
- Brigham and Women's Hospital · Boston $871
- Nantucket Cottage Hospital · Nantucket $871
Insurance negotiated median for the same procedure, sorted lowest first.