CMS Price Transparency Data
Upper endoscopy with biopsy
Facility: Brattleboro Memorial Hospital
Billing Code: 43239 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$509
about 0.5× the $927 Medicare rate · typically $432–$817
modeled estimate · not a bill or quote
Medicare pays $927 Fair price $509 Cash price $265 Hospital's list price $378
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 | $899 | 97% |
| Blue Cross Blue Shieldmajor | $128 - $1,259 | 14% |
| Aetnamajor | $333 - $400 | 36% |
| Cignamajor | $128 - $926 | 14% |
| Humanamajor | $899 | 97% |
| AmeriHealth | $113 - $725 | 12% |
| Harvard Pilgrim | $128 - $899 | 14% |
| MVP Health Care | $128 - $1,259 | 14% |
| Tufts Health Plan | $313 | 34% |
| WellCare | $134 - $944 | 14% |
| WellSense | $113 - $962 | 12% |
| + 3 smaller / regional plans | $113 - $899 |
Excludes 1 rental-network / third-party entry (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.
Other Procedures at Brattleboro Memorial Hospital
Compare: Upper endoscopy with biopsy at other VT hospitals
- North Country Hospital and Health Center · Newport $168
- Gifford Medical Center · Randolph $197
- Porter Hospital Inc · Middlebury $341
- Southwestern Vermont Medical Center · Bennington $349
- Northeastern Vermont Regional Hospital · Saint Johnsbury $411
- Copley Hospital · Morrisville $482
- Univ. of Vermont - Fletcher Allen Health Care · Burlington $523
- Central Vermont Medical Center · Barre $851
Insurance negotiated median for the same procedure, sorted lowest first.