Upper endoscopy with biopsy
Facility: New London Hospital
Billing Code: 43239 (CPT)
This hospital's typical commercial price is $203 compared to the $200 fair price benchmark.
3-Star CMS clinical quality rating paired with 1.01× fair market pricing.
One of the lower prices — 6 of 8 other NH hospitals charge more for the same procedure.
Black dot = this hospital, among the 9 NH hospitals with a price for this procedure. Full list below.
Note: The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.
A fair price for a Upper endoscopy with biopsy is about $200 (about 0.2× the $927 Medicare rate). New London Hospital charges insurers about $203, or about $1,079 in cash — about the fair price. Located in New London, 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
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 - $2,343 | 14% |
| Blue Cross Blue Shieldmajor | $133 - $2,454 | 14% |
| Aetnamajor | $153 - $2,831 | 17% |
| Cignamajor | $185 - $2,028 | 20% |
| Ambetter (Centene) | $153 - $1,318 | 17% |
| AmeriHealth | $143 - $1,527 | 15% |
| Harvard Pilgrim | $158 - $2,137 | 17% |
| Tufts Health Plan | $1,195 - $2,157 | 129% |
| WellCare | $137 - $1,318 | 15% |
| WellSense | $140 - $1,318 | 15% |
| + 3 smaller / regional plans | $133 - $2,059 |
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 New London Hospital
Compare: Upper endoscopy with biopsy at other NH hospitals
- Alice Peck Day Memorial Hospital · Lebanon $129
- St Joseph Hospital · Nashua $164
- Weeks Medical Center · Lancaster $788
- Northeast Rehabilitation Hospital Network · Salem $796
- Cheshire Medical Center · Keene $980
- 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 New London Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $857
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 = $857).
Self-Pay Cash Rate ($1,079) Beats Your Bill
New London Hospital's published 45 CFR § 180 self-pay cash rate is $1,079 (vs. $203 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $200 Fair BaseRate ($927 Medicare)
Your bill ($2,362) is $2,162 above the denoised Fair BaseRate ($200) and 2.5× 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.