CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Nantucket Cottage Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,282
about 1.4× the $927 Medicare rate · typically $922–$1,790
modeled estimate · not a bill or quote
What this hospital charges insurers
$871
Below the fair price — a good deal
about $411 under the fair price · 0.9× Medicare
Medicare pays $927 Fair price $1,282 This hospital $871 Cash price $1,435 Hospital's list price $1,913

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

A typical price — 1 charge more and 4 charge less, among the 9 MA hospitals compared.

Cheapest $380 Priciest $972

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 $1,282 (about 1.4× the $927 Medicare rate). Nantucket Cottage Hospital charges insurers about $871, or about $1,435 in cash — below the fair price — a good deal. Located in Nantucket, MA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $1,608 - $1,808 174%
Blue Cross Blue Shieldmajor $871 94%
Aetnamajor $1,487 - $1,672 160%
Harvard Pilgrim $1,579 - $1,776 170%
+ 1 smaller / regional plan $1,320 - $1,484
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 57 Prospect Street, Nantucket, MA 02554
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals