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

Posted commercial rates at 26 Massachusetts hospitals, each next to its own Medicare base rate.

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CPT 43239

HospitalMedian across insurers× MedicareInsurersFile date
Massachusetts General Hospital Boston$7620.7×52026-03-27
Brigham and Women's Hospital Boston$7620.7×52026-03-27
Brigham and Women's Faulkner Hospital Boston$8160.8×62026-03-27
South Shore Hospital South Weymouth$8440.8×42026-04-01
Mercy Medical Ctr Springfield$8710.8×272026-03-31
Boston Medical Center-Brighton Brighton$9410.9×62026-03-13
Boston Medical Center-South Brockton$9410.9×62026-03-13
Anna Jaques Hospital Newburyport$1,2571.2×52026-04-01
New England Baptist Hospital Boston$1,2871.2×52026-04-01
Berkshire Medical Center Inc - 1 Pittsfield$1,3871.3×92026-03-25
Beth Israel Deaconess Hospital - Needham Needham$1,4671.4×42026-04-01
Emerson Hospital - W Concord$1,4801.4×72026-05-18
Mount Auburn Hospital Cambridge$1,4871.4×32026-04-01
Umass Memorial Medical Center Inc Worcester$1,5081.4×32026-03-26
Beth Israel Deaconess Hospital-Milton Inc Milton$1,5541.4×42026-04-01
Beth Israel Deaconess Hospital - Plymouth Plymouth$1,6121.5×42026-04-01
Lahey Hospital & Medical Center, Burlington Burlington$1,6291.5×42026-04-01
Winchester Hospital Winchester$1,7241.6×52026-04-01
Beverly Hospital Corporation Beverly$1,7441.6×62026-04-01
Lowell General Hospital Lowell$1,7911.6×132026-04-01
Signature Healthcare Brockton Hospital Brockton$1,8121.7×72026-01-28
Beth Israel Deaconess Medical Center Boston$1,8251.7×42026-04-01
Fairview Hospital Great Barrington$1,9461.8×72026-03-25
North Adams Regional Hospital North Adams$1,9461.8×92026-03-25
Tufts Medical Center Boston$2,0031.8×112026-04-01
Umass Memorial Health-Milford Regional Medical Ctr Milford$2,3782.2×32026-04-01

Questions

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

26 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 26 hospitals is $1,498, 1.4× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.