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Upper endoscopy (EGD) with biopsy in Massachusetts: what insurers pay

Posted commercial rates at 13 Massachusetts hospitals, each next to its own Medicare base rate.

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CPT 43239

HospitalMedian across insurers× MedicareInsurersFile date
South Shore Hospital South Weymouth$8440.8×22026-04-01
Emerson Hospital - W Concord$1,1321.0×32026-05-18
Anna Jaques Hospital Newburyport$1,2571.2×52026-04-01
Beth Israel Deaconess Hospital - Needham Needham$1,2681.2×32026-04-01
Mount Auburn Hospital Cambridge$1,3421.2×22026-04-01
Beth Israel Deaconess Medical Center Boston$1,4481.3×32026-04-01
Beth Israel Deaconess Hospital - Plymouth Plymouth$1,4601.3×32026-04-01
Winchester Hospital Winchester$1,4821.4×42026-04-01
Lahey Hospital & Medical Center, Burlington Burlington$1,5761.4×32026-04-01
New England Baptist Hospital Boston$1,6301.5×42026-04-01
Lowell General Hospital Lowell$1,7451.6×52026-04-01
Beverly Hospital Corporation Beverly$1,8451.7×52026-04-01
Tufts Medical Center Boston$2,0031.8×32026-04-01

Questions

How much do insurers pay for upper endoscopy (egd) with biopsy in Massachusetts?

13 Massachusetts hospitals post usable commercial rates for upper endoscopy (egd) with biopsy in their federal price-transparency files. For CPT 43239, hospital outpatient, the median across 13 hospitals is $1,460, 1.3× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.