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

Posted commercial rates at 6 Rhode Island hospitals, each next to its own Medicare base rate.

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CPT 43239

HospitalMedian across insurers× MedicareInsurersFile date
Westerly Hospital Westerly$9080.9×112026-09-19
Landmark Medical Center Woonsocket$1,2181.2×42026-09-01
Kent County Memorial Hospital Warwick$1,3921.4×42026-02-28
The Miriam Hospital Providence$2,4622.4×32026-04-01
Newport Hospital Newport$2,8692.8×52026-04-01
Rhode Island Hospital Providence$2,9912.9×52026-04-01

Questions

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

6 Rhode Island 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 6 hospitals is $1,927, 1.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.