Upper endoscopy with biopsy
Facility: Metrowest Medical Center
Billing Code: 43239 (CPT)
Lowest price of the 9 MA hospitals we have prices for — a strong deal.
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 $999 (about 1.1× the $927 Medicare rate). Metrowest Medical Center charges insurers about $380 — below the fair price — a good deal. Located in Framingham, 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 |
|---|---|---|
| Aetnamajor | $4,898 | 529% |
| Cignamajor | $3,913 - $13,614 | 422% |
| Health Net | $380 | 41% |
| + 1 smaller / regional plan | $380 |
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 Metrowest Medical Center
Compare: Upper endoscopy with biopsy at other MA hospitals
- 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
- Milford Regional Medical Center · Milford $972
Insurance negotiated median for the same procedure, sorted lowest first.