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Upper endoscopy (EGD), diagnostic in Massachusetts: what insurers pay

Posted commercial rates at 7 Massachusetts hospitals, each next to its own Medicare base rate.

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CPT 43235

HospitalMedian across insurers× MedicareInsurersFile date
Lahey Hospital & Medical Center, Burlington Burlington$1,2401.1×32026-04-01
New England Baptist Hospital Boston$1,2521.1×42026-04-01
Anna Jaques Hospital Newburyport$1,2571.2×52026-04-01
Winchester Hospital Winchester$1,2681.2×42026-04-01
Beth Israel Deaconess Hospital - Plymouth Plymouth$1,4121.3×32026-04-01
Beth Israel Deaconess Medical Center Boston$1,4481.3×32026-04-01
Beverly Hospital Corporation Beverly$1,4531.3×52026-04-01

Questions

How much do insurers pay for upper endoscopy (egd), diagnostic in Massachusetts?

7 Massachusetts hospitals post usable commercial rates for upper endoscopy (egd), diagnostic in their federal price-transparency files. For CPT 43235, hospital outpatient, the median across 7 hospitals is $1,268, 1.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.