CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Saint Anne's Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,504
about 1.6× the $927 Medicare rate · typically $1,098–$1,504
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,568
About the fair price
about $64 over the fair price · 1.7× Medicare
Medicare pays $927 Fair price $1,504 This hospital $1,568 Cash price $4,694 Hospital's list price $4,694

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

Highest price of the 9 MA hospitals we have prices for — worth calling around.

Cheapest $380 Priciest $1,568

Black dot = this hospital, among the 9 MA hospitals with a price for this procedure. Full list below.

A fair price for a Upper endoscopy with biopsy is about $1,504 (about 1.6× the $927 Medicare rate). Saint Anne's Hospital charges insurers about $1,568, or about $4,694 in cash — about the fair price. Located in Fall River, MA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente

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 $750 - $1,168 81%
Blue Cross Blue Shieldmajor $1,568 169%
Aetnamajor $1,087 - $3,190 117%
Harvard Pilgrim $3,712 401%
Tufts Health Plan $1,951 211%
+ 3 smaller / regional plans $1,141 - $1,630

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Facility Profile & Credentials

  • Address: 795 Middle Street, Fall River, MA 02721
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals