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Upper endoscopy (EGD) with biopsy in Boston MA

Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.

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CPT 43239

Hospital · insurer	Rate	× Medicare	Plans
Massachusetts General Hospital median $762 · local Medicare $1,087 · file 2026-03-27
BCBS Massachusetts	$871	0.8×	2
Commonwealth Care Alliance	$1,113	1.0×	1
Harvard Pilgrim	$762	0.7×	3
Harvard Pilgrim Alternate	$762	0.7×	3
UnitedHealthcare	$762	0.7×	3
Brigham and Women's Hospital median $762 · local Medicare $1,087 · file 2026-03-27
BCBS Massachusetts	$871	0.8×	2
Commonwealth Care Alliance	$1,113	1.0×	1
Harvard Pilgrim	$762	0.7×	3
Harvard Pilgrim Alternate	$762	0.7×	4
UnitedHealthcare	$762	0.7×	3
Brigham and Women's Faulkner Hospital median $816 · local Medicare $1,087 · file 2026-03-27
BCBS Massachusetts	$871	0.8×	2
Commonwealth Care Alliance	$1,091	1.0×	1
Harvard Pilgrim	$762	0.7×	2
Harvard Pilgrim Alternate	$762	0.7×	2
Tufts Health Plan	$1,091	1.0×	1
UnitedHealthcare	$762	0.7×	1
South Shore Hospital median $844 · local Medicare $1,087 · file 2026-04-01
BCBS Massachusetts	$871	0.8×	2
Harvard Pilgrim	$623	0.6×	3
Tufts Health	$1,805	1.7×	5
UnitedHealthcare	$817	0.8×	1
Anna Jaques Hospital median $1,257 · local Medicare $1,087 · file 2026-04-01
BCBS Massachusetts	$1,317	1.2×	1
Cigna	$1,136	1.0×	1
Elevance/Anthem/Empire	$1,197	1.1×	1
MultiPlan/PHCS (rental network)	$2,294	2.1×	1
UnitedHealthcare	$1,643	1.5×	1
New England Baptist Hospital median $1,287 · local Medicare $1,087 · file 2026-04-01
BCBS Massachusetts	$1,186	1.1×	2
Cigna	$2,074	1.9×	1
Elevance/Anthem/Empire	$1,186	1.1×	1
Harvard Pilgrim Healthcare	$1,287	1.2×	1
UnitedHealthcare	$4,689	4.3×	1
Beth Israel Deaconess Hospital - Needham median $1,467 · local Medicare $1,087 · file 2026-04-01
BCBS Massachusetts	$1,467	1.3×	1
Elevance/Anthem/Empire	$1,070	1.0×	1
Harvard Pilgrim Healthcare	$2,201	2.0×	1
MultiPlan/PHCS (rental network)	$6,865	6.3×	1
Emerson Hospital - median $1,480 · local Medicare $1,087 · file 2026-05-18
Aetna	$2,401	2.2×	1
BCBS Massachusetts	$1,132	1.0×	2
Elevance/Anthem/Empire	$1,093	1.0×	1
Hphc	$1,237	1.1×	2
MassHealth	$1,480	1.4×	1
Mgb Mh Aco	$1,480	1.4×	1
Tufts PPO	$1,723	1.6×	1
Mount Auburn Hospital median $1,487 · local Medicare $1,087 · file 2026-04-01
BCBS Massachusetts	$1,487	1.4×	2
Elevance/Anthem/Empire	$1,197	1.1×	1
Harvard Pilgrim Healthcare	$1,889	1.7×	1
Beth Israel Deaconess Hospital - Plymouth median $1,612 · local Medicare $1,087 · file 2026-04-01
Aetna	$1,764	1.6×	1
BCBS Massachusetts	$1,460	1.3×	2
Elevance/Anthem/Empire	$1,070	1.0×	1
Harvard Pilgrim Healthcare	$2,056	1.9×	2
Lahey Hospital & Medical Center, Burlington median $1,629 · local Medicare $1,087 · file 2026-04-01
BCBS Massachusetts	$1,682	1.5×	1
Cigna	$1,576	1.4×	1
Elevance/Anthem/Empire	$1,240	1.1×	1
Harvard Pilgrim Healthcare	$2,254	2.1×	1
Winchester Hospital median $1,724 · local Medicare $1,087 · file 2026-04-01
BCBS Massachusetts	$1,221	1.1×	2
Cigna	$1,724	1.6×	1
Elevance/Anthem/Empire	$1,240	1.1×	1
Harvard Pilgrim Healthcare	$1,858	1.7×	1
UnitedHealthcare	$8,498	7.8×	1
Beverly Hospital Corporation median $1,744 · local Medicare $1,087 · file 2026-04-01
BCBS Massachusetts	$1,260	1.2×	1
Cigna	$2,430	2.2×	1
Elevance/Anthem/Empire	$1,240	1.1×	1
Harvard Pilgrim Healthcare	$1,744	1.6×	1
MultiPlan/PHCS (rental network)	$2,840	2.6×	1
UnitedHealthcare	$3,509	3.2×	1
Lowell General Hospital median $1,791 · local Medicare $1,087 · file 2026-04-01
Aetna	$3,469	3.2×	2
BCBS Massachusetts	$871	0.8×	3
Cigna	$1,745	1.6×	1
Commonwealth Care Alliance	$2,360	2.2×	1
Elevance/Anthem/Empire	$1,791	1.6×	1
Fallon Health Connectorcare	$2,360	2.2×	1
Harvard Pilgrim Healthcare	$745	0.7×	4
Health Plans	$745	0.7×	2
Mass General Brigham Health Plan	$2,360	2.2×	1
Tufts Health Plan	$1,751	1.6×	3
Tufts Health Public Plan	$2,360	2.2×	1
UnitedHealthcare	$745	0.7×	2
Wellsense Clarity Connectorcare	$2,360	2.2×	2
Beth Israel Deaconess Medical Center median $1,825 · local Medicare $1,087 · file 2026-04-01
BCBS Massachusetts	$1,825	1.7×	2
Elevance/Anthem/Empire	$1,072	1.0×	1
Harvard Pilgrim Healthcare	$2,224	2.0×	1
MultiPlan/PHCS (rental network)	$6,865	6.3×	1
Tufts Medical Center median $2,003 · local Medicare $1,087 · file 2026-04-01
BCBS Massachusetts	$871	0.8×	3
Cigna	$2,010	1.8×	1
Commonwealth Care Alliance	$2,003	1.8×	1
Fallon Health Connectorcare	$2,003	1.8×	1
Harvard Pilgrim Healthcare	$2,170	2.0×	2
Health Plans	$2,170	2.0×	2
Mass General Brigham Health Plan	$2,003	1.8×	1
Nh Healthy Families	$2,003	1.8×	1
Tufts Health Plan	$1,959	1.8×	4
Tufts Health Public Plan	$2,003	1.8×	1
UnitedHealthcare	$2,003	1.8×	2

Questions

How much does upper endoscopy (egd) with biopsy cost with commercial insurance in Boston MA?

16 Boston MA hospitals post usable commercial rates for CPT 43239, hospital outpatient. The median across hospitals is $1,484; hospital medians range from $762 to $2,003. Your cost depends on your plan's deductible and coinsurance.