Upper endoscopy with biopsy
Facility: Cheshire Medical Center
Billing Code: 43239 (CPT)
This hospital's typical commercial price is $980 compared to the $830 fair price benchmark.
4-Star CMS clinical quality rating paired with 1.18× fair market pricing.
A typical price — 3 charge more and 5 charge less, among the 9 NH hospitals compared.
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 $830 (about 0.9× the $927 Medicare rate). Cheshire Medical Center charges insurers about $980, or about $1,008 in cash — above the fair price. Located in Keene, 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 $830. 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
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 | $409 - $2,894 | 44% |
| Blue Cross Blue Shieldmajor | $310 - $3,179 | 33% |
| Aetnamajor | $137 - $2,608 | 15% |
| Cignamajor | $409 - $4,099 | 44% |
| Ambetter (Centene) | $409 - $871 | 44% |
| AmeriHealth | $325 - $467 | 35% |
| Harvard Pilgrim | $743 - $2,055 | 80% |
| MVP Health Care | $409 - $4,099 | 44% |
| Tufts Health Plan | $857 - $2,434 | 92% |
| WellCare | $409 - $980 | 44% |
| WellSense | $325 - $1,048 | 35% |
| + 5 smaller / regional plans | $325 - $3,813 |
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 Cheshire Medical Center
Compare: Upper endoscopy with biopsy at other NH hospitals
- Alice Peck Day Memorial Hospital · Lebanon $129
- St Joseph Hospital · Nashua $164
- New London Hospital · New London $203
- Weeks Medical Center · Lancaster $788
- Northeast Rehabilitation Hospital Network · Salem $796
- Wentworth-Douglass Hospital · Dover $1,004
- Mary Hitchcock Memorial Hospital · Lebanon $1,049
- Elliot Hospital · Manchester $1,164
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Cheshire Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $1,325
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $1,325).
Self-Pay Cash Rate ($1,008) Beats Your Bill
Cheshire Medical Center's published 45 CFR § 180 self-pay cash rate is $1,008 (vs. $980 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $830 Fair BaseRate ($927 Medicare)
Your bill ($3,651) is $2,821 above the denoised Fair BaseRate ($830) and 3.9× the $927 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.