How much does an Upper GI endoscopy cost in Massachusetts?

Upper GI endoscopy (diagnostic) · CPT 43235 · State: Massachusetts

In Massachusetts, the typical insurer-negotiated price for an Upper GI endoscopy (diagnostic) is about $1,153, with most between $764 and $1,676 ($1,597 cash/self-pay). Based on 31 Massachusetts hospitals — 15% lower than the national typical of $1,356. Hospital list charges run about $1,972 (1.7× higher).

Insurer-negotiated
$1,153
Massachusetts · $764–$1,676
Cash / self-pay
$1,597
typical cash price
Hospital list charge
$1,972
1.7× the negotiated rate

Source: medians across 31 Massachusetts hospitals' published price files (≥5 reporting). See the national Upper GI endoscopy (diagnostic) cost for the full picture. Estimates vary by hospital, insurer, and plan.

Upper GI endoscopy (diagnostic) cost in Massachusetts — FAQs

How much does an Upper GI endoscopy (diagnostic) cost in Massachusetts?

In Massachusetts, the typical insurer-negotiated price for an Upper GI endoscopy (diagnostic) is about $1,153, with most between $764 and $1,676, based on 31 Massachusetts hospitals. That's 15% lower than the national typical of $1,356.

How much does an Upper GI endoscopy (diagnostic) cost without insurance in Massachusetts?

Cash or self-pay prices for an Upper GI endoscopy (diagnostic) in Massachusetts run around $1,597. Hospitals often bill the higher "list" charge first (about $1,972), so ask for the cash or self-pay rate.

Why is my Massachusetts hospital bill for an Upper GI endoscopy (diagnostic) so high?

Massachusetts hospital "list" charges for an Upper GI endoscopy (diagnostic) run about $1,972 — roughly 1.7× the $1,153 insurers actually pay there. The list price is rarely what anyone pays; the negotiated and cash rates are the realistic benchmark.

Can I negotiate the cost of an Upper GI endoscopy (diagnostic) in Massachusetts?

Yes. If a Massachusetts hospital charged you well above the typical negotiated rate (about $1,153), that gap is negotiable. Upfronte audits your bill against real Massachusetts hospital pricing data and negotiates it down on your behalf — no savings, no fee.

Charged more than $1,153 in Massachusetts?

Upload your bill and Upfronte will check it against real Massachusetts hospital prices and negotiate overcharges. No savings, no fee.

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