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Upper endoscopy with biopsy in Boston, MA-NH costs $889 to $1,825. Here's every hospital's price.

5 hospitals in the Boston-Cambridge-Newton, MA-NH metro area publish a cash price for upper endoscopy with biopsy (CPT 43239). We read their files every month so you don't have to.

Across the Boston-Cambridge-Newton, MA-NH metro area, 5 hospitals list a cash price for upper endoscopy with biopsy (CPT 43239). The lowest is $889 at Boston Medical Center-Brighton, the median is $1,402 and the highest is $1,825 at Cambridge Health Alliance. The most expensive hospital lists 2.1 times the cheapest for the same code.

The Boston, MA-NH median of $1,402 is in line with the national median of $1,402 across 335 US hospitals with a cash price for this code.

6 of these hospitals also publish the rates they negotiated with insurers, from $114 to $3,672. With insurance you pay a share of the negotiated rate, which is sometimes higher than the cash price; you may ask for the cash price instead.

The files behind these prices are dated between January 2026 and April 2026. 35 other hospitals in the metro area have no readable price for this code: some publish no file, some block automated reading, some leave the code out. They are listed below so you can call them.

$889
lowest cash price in Boston, MA-NH
Boston Medical Center-Brighton · 13 mi
$513 below the median
$1,402
median cash price
5 hospitals
2.1×
highest ÷ lowest
same procedure, same metro
5/41
hospitals with a cash price
35 don't · see who

Sorted by cash price

Hospital facility fee only
1
Boston Medical Center-Brighton

Brighton · 13 mi · File Mar 2026

$889
list $1,976 · lowest of 2 lines
2
Boston Medical Center

Boston · 13 mi · File Mar 2026

$997
list $2,215
3
Tufts Medical Center

Boston · 12 mi · File Apr 2026

$1,402
list $2,003 · lowest of 3 lines
4
Lowell General Hospital

Lowell · 19 mi · File Apr 2026

$1,652
list $2,360 · lowest of 3 lines
5
Signature Healthcare Brockton Hospital

Brockton · 30 mi · File Jan 2026

$1,786
list $2,552 · lowest of 2 lines
6
Cambridge Health Alliance

Cambridge · 11 mi · File Mar 2026

$1,825
list $1,825 · lowest of 2 lines
1

What's in the price

The hospital facility fee for CPT 43239. The doctor, anesthesia and lab work usually bill separately.

2

Cash vs. insured

Cash is what you pay without insurance. With insurance you pay a share of the negotiated rate, which can be higher than cash. You may ask for the cash price.

3

What to say on the phone

"I'd like the self-pay price for CPT 43239, in writing, and whether it covers facility, physician and anesthesia."

About upper endoscopy with biopsy

CPT 43239 is an upper endoscopy (EGD) in which tissue samples are taken from the esophagus, stomach or duodenum. It is the usual code when the exam is done to check for celiac disease, H. pylori, Barrett's esophagus or unexplained inflammation, since all of those need a sample to confirm.

What the price covers

The facility fee: the endoscopy room, nursing, the scope, biopsy forceps, sedation monitoring and recovery. Separately billed: the gastroenterologist, the anesthesia provider and the pathologist. Celiac work-ups often take four to six samples, so ask whether pathology is billed per specimen.

Related codes

  • 43235: EGD, diagnostic, no biopsy
  • 43239: EGD with biopsy (this page)

Hospitals typically price 43239 slightly above 43235. If only one is listed, it is a fair guide for the other.

Why prices vary

The spread within a metro area is usually several times. It tracks the hospital's overall pricing level, not the difficulty of the exam. Community hospitals and hospital-owned outpatient centers sit at the low end; academic medical centers at the high end.

Questions to ask

  • What is the self-pay price for 43239 including pathology?
  • How many samples are planned, and is pathology billed per sample?
  • Who provides anesthesia, and what is their cash rate?

Hospitals in Boston, MA-NH without a price for this procedure

Listed so you know who to call. The reason is what we found on their website.

Questions people ask