CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Mainehealth Mid Coast Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$305
about 0.3× the $927 Medicare rate · typically $244–$890
modeled estimate · not a bill or quote
What this hospital charges insurers
$275
About the fair price
about $30 under the fair price · 0.3× Medicare
Medicare pays $927 Fair price $305 This hospital $275

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

A typical price — 3 charge more and 5 charge less, among the 9 ME hospitals compared.

Cheapest $133 Priciest $477

Black dot = this hospital, among the 9 ME hospitals with a price for this procedure. Full list below.

A fair price for a Upper endoscopy with biopsy is about $305 (about 0.3× the $927 Medicare rate). Mainehealth Mid Coast Hospital charges insurers about $275 — about the fair price. Located in Brunswick, ME.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $130 - $916 14%
Blue Cross Blue Shieldmajor $130 - $3,275 14%
Aetnamajor $132 - $916 14%
Cignamajor $692 75%
Humanamajor $149 - $916 16%
Harvard Pilgrim $725 78%
WellCare $149 - $943 16%
+ 1 smaller / regional plan $278
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 123 Medical Center Drive, Brunswick, ME 04011
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals