Upper endoscopy with biopsy
Facility: Falmouth 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.
A fair price for a Upper endoscopy with biopsy is about $1,295 (about 1.4× the $927 Medicare rate). Falmouth Hospital charges insurers about $1,098, or about $1,740 in cash — below the fair price — a good deal. Located in Falmouth, MA.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 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 | $549 - $1,098 | 59% |
| Blue Cross Blue Shieldmajor | $581 - $1,978 | 63% |
| Harvard Pilgrim | $714 - $1,428 | 77% |
| UniCare | $870 | 94% |
| WellSense | $1,417 - $2,835 | 153% |
| + 4 smaller / regional plans | $541 - $2,618 |
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 Falmouth 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.