CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Anna Jaques Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,336
about 1.4× the $927 Medicare rate · typically $959–$1,805
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,257
About the fair price
about $79 under the fair price · 1.4× Medicare
Medicare pays $927 Fair price $1,336 This hospital $1,257 Cash price $1,901 Hospital's list price $1,901

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 $1,257

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 $1,336 (about 1.4× the $927 Medicare rate). Anna Jaques Hospital charges insurers about $1,257, or about $1,901 in cash — about the fair price. Located in Newburyport, 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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $1,643 177%
Blue Cross Blue Shieldmajor $1,317 142%
Aetnamajor $1,087 117%
Cignamajor $1,136 123%
UniCare $1,197 129%
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 25 Highland Avenue, Newburyport, MA 01950
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals