CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Cheshire Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$877
about 0.9× the $927 Medicare rate · typically $572–$977
modeled estimate · not a bill or quote
What this hospital charges insurers
$980
About the fair price
about $103 over the fair price · 1.1× Medicare
Medicare pays $927 Fair price $877 This hospital $980 Cash price $1,008 Hospital's list price $3,651

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

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

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 $877 (about 0.9× the $927 Medicare rate). Cheshire Medical Center charges insurers about $980, or about $1,008 in cash — about the fair price. Located in Keene, NH.

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 $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
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 580 Court Street, Keene, NH 03431
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals