Upper endoscopy with biopsy
Facility: Newton-Wellesley Hospital
Billing Code: 43239 (CPT)
A typical price — 1 charge more and 4 charge less, among the 9 MA hospitals compared.
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 $1,077 (about 1.2× the $927 Medicare rate). Newton-Wellesley Hospital charges insurers about $871, or about $1,686 in cash — below the fair price — a good deal. Located in Newton, 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 | $762 - $1,764 | 82% |
| Blue Cross Blue Shieldmajor | $871 - $1,113 | 94% |
| Aetnamajor | $1,147 - $1,311 | 124% |
| Cignamajor | $1,333 | 144% |
| Harvard Pilgrim | $762 | 82% |
| Molina | $1,113 | 120% |
| Tufts Health Plan | $1,091 | 118% |
| + 2 smaller / regional plans | $1,113 - $1,311 |
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 Newton-Wellesley 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
- Brigham and Women's Hospital · Boston $871
- Nantucket Cottage Hospital · Nantucket $871
- Milford Regional Medical Center · Milford $972
Insurance negotiated median for the same procedure, sorted lowest first.