CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$631
about 0.7× the $927 Medicare rate · typically $326–$1,073
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,049
Above the fair price
about $418 over the fair price · 1.1× Medicare
Medicare pays $927 Fair price $631 This hospital $1,049 Cash price $1,186 Hospital's list price $3,876

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

On the higher side — 6 of 8 other NH hospitals charge less.

Cheapest $129 Priciest $1,351

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

A fair price for a Upper endoscopy with biopsy is about $631 (about 0.7× the $927 Medicare rate). Mary Hitchcock Memorial Hospital charges insurers about $1,049, or about $1,186 in cash — above the fair price. Located in Lebanon, NH.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $631. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $133 - $8,280 14%
Blue Cross Blue Shieldmajor $492 - $4,082 53%
Aetnamajor $509 - $3,427 55%
Cignamajor $337 - $4,214 36%
Ambetter (Centene) $316 - $2,257 34%
AmeriHealth $325 - $446 35%
Harvard Pilgrim $99 - $3,664 11%
MVP Health Care $469 - $2,654 51%
Tufts Health Plan $481 - $2,298 52%
WellCare $514 - $1,091 55%
WellSense $325 - $1,102 35%
+ 7 smaller / regional plans $325 - $3,742
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1 Medical Center Drive, Lebanon, NH 03756
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals