Upper endoscopy with biopsy
Facility: Fairview Hospital
Billing Code: 43239 (CPT)
A typical price — 5 charge more and 3 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 $863 (about 0.9× the $927 Medicare rate). Fairview Hospital charges insurers about $803, or about $2,171 in cash — about the fair price. Located in Great Barrington, 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 | $493 - $2,257 | 53% |
| Aetnamajor | $1,446 - $2,005 | 156% |
| Cignamajor | $1,723 - $2,470 | 186% |
| MVP Health Care | $1,723 - $2,390 | 186% |
| UniCare | $742 - $1,722 | 80% |
| + 14 smaller / regional plans | $116 - $2,804 |
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 Fairview 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
- 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.