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

Posted commercial rates at 5 Vermont hospitals, each next to its own Medicare base rate.

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CPT 43239

HospitalMedian across insurers× MedicareInsurersFile date
Southwestern Vermont Medical Center Bennington$5380.6×62025-01-01
Northeastern Vermont Regional Hospital Saint Johnsbury$6070.7×22026-08-27
Central Vermont Medical Center Berlin$2,3802.6×12026-04-28
University Of Vermont Medical Center Burlington$3,5953.9×12026-04-28
Porter Hospital Inc Middlebury$3,6854.1×12026-04-28

Questions

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

5 Vermont 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 5 hospitals is $2,380, 2.6× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.