Upper endoscopy with biopsy
Facility: Berkshire Medical Center
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.
A fair price for a Upper endoscopy with biopsy is about $1,112 (about 1.2× the $927 Medicare rate). Berkshire Medical Center charges insurers about $1,164, or about $2,171 in cash — about the fair price. Located in Pittsfield, 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 | $436 - $2,284 | 47% |
| Blue Cross Blue Shieldmajor | $450 - $2,257 | 49% |
| Aetnamajor | $1,446 - $2,005 | 156% |
| Cignamajor | $1,723 - $2,470 | 186% |
| CDPHP | $1,387 - $2,390 | 150% |
| MVP Health Care | $1,723 - $2,390 | 186% |
| Tufts Health Plan | $1,082 - $1,607 | 117% |
| UniCare | $742 - $1,722 | 80% |
| + 14 smaller / regional plans | $147 - $2,523 |
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 Berkshire Medical Center
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.