Endoscopy Cost in Boston, MA (2026): Average Prices & What You'll Pay
What does a endoscopy cost in Boston, MA?
Where you have an endoscopy done in Boston, MA swings the bill from $898 to $1,282 for identical care. The median cash price across 29 reporting hospitals is $1,086. The numbers are pulled directly from federally mandated hospital price transparency files.
Across 29 Boston, MA hospitals that publish prices, an endoscopy runs from as little as $337 (MetroWest Medical Center - Natick in Natick) to $3,801 (PORTSMOUTH REGIONAL HOSPITAL in Portsmouth) — a 11.3× spread for the same procedure. Half of Boston, MA facilities price it at or below $1,086, with most clustered between $640 and $1,282. Insurers negotiate this down to a median of $851, while self-pay patients are quoted $1,086.
One upper endoscopy can become four separate bills — and a biopsy adds a fifth surprise weeks later.
The free toolkit shows you:
- ✓ The four separate bills (facility, gastroenterologist, anesthesia, pathology) and which to scrutinize
- ✓ How a biopsy adds a pathology bill that arrives weeks after the procedure
- ✓ Why anesthesia ends up out-of-network even at an in-network surgery center
- ✓ Why an ambulatory surgery center costs less than a hospital for the identical procedure
- ✓ A real patient billing breakdown, line by line
Free for patients — takes 30 seconds to get.
We'll email it to you immediately. No account required, no spam.
Forecast your out-of-pocket cost
- Lower-cost hospitals (bottom 25%): under $640
- Median hospital: $1,086
- Higher-cost hospitals (top 30%): $1,282+
That's a 2× spread for the same procedure — driven entirely by which facility you choose, not by clinical complexity.
- Patient A (higher-rate plan or out-of-network): ~$1,282
- Patient B (lower-rate in-network plan): ~$898
Where endoscopy costs vary in Boston, MA
Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers, imaging centers, and other facilities (colored by type). Click any pin for facility name and estimated cost range.
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Cheapest Endoscopy Providers in Boston, MA
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | Boston Medical Center South | MA | $611 | -$475 |
| 2 | Boston Medical Center Brighton | MA | $611 | -$475 |
| 3 | South Shore Hospital | South Weymouth, MA | $623 | -$463 |
| 4 | Northeast Rehabilitation Hospital | Salem, MA | $623 | -$463 |
| 5 | Tufts Medical Center | Boston, MA | $640 | -$446 |
| 6 | Anna Jaques Hospital | Newburyport, MA | $851 | -$235 |
| 7 | Exeter Hospital Inc | Exeter, MA | $968 | -$118 |
| 8 | Beth Israel Deaconess Hospital - Plymouth | Plymouth, MA | $1,069 | -$17 |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
The facility you choose matters more than almost anything else — the same procedure, same quality, same state can cost 5× more at one hospital versus the one down the road.
→ Compare all procedure costs → Endoscopy costs nationwide
Check YOUR hospital's pricing → Estimate YOUR exact cost →
What you'll actually pay — example scenarios
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met (pay in full) | ~$1,086 |
| Deductible met — 20% coinsurance | ~$217 |
| Out-of-network provider | $2,389+ |
Based on the state median facility price of $1,086. Your actual cost depends on your plan deductible, coinsurance rate, and network tier. Get YOUR personalized estimate →
What this means for you
If you haven't met your deductible, you are effectively a cash-pay patient.
That means:
- You should verify your hospital is in-network before an elective visit when possible
- The cheapest facility can save you $749+ vs. the median.
This is the single biggest lever most patients have to reduce their cost.
Lower-cost options in Boston, MA start around $640 or below. Most hospitals cluster between $640 and $1,282. A smaller group reports prices above that — often academic medical centers or high-cost markets.
If you're comparing specific hospitals, the lowest self-pay rates reported in this dataset include: Boston Medical Center in Boston (cash price from $337); MetroWest Medical Center - Natick in Natick (cash price from $377); MetroWest Medical Center - Framingham in Framingham (cash price from $377). These are declared cash prices — contact each facility for a formal quote before scheduling.
- Best value hospitals (lowest prices): Boston Medical Center: $337; MetroWest Medical Center - Natick: $377; MetroWest Medical Center - Framingham: $377
- Most expensive (outpatient): Boston Children's Hospital: ~$2,577; Signature Healthcare Brockton Hospital: ~$1,786
→ Choosing the right facility can save $749+ vs. the state median.
Boston, MA Endoscopy prices by facility
All prices below come from hospital chargemasters — the official price lists each hospital must publish under federal law. Gross charge is the undiscounted list price; cash price is the self-pay rate; negotiated range covers the spread across insurance contracts.
- Cash price — the self-pay rate you can actually negotiate and pay
- Negotiated rate — if reported by the hospital across insurance contracts
- Gross charge — fallback only; this is the inflated list price few people pay
This reflects the real prices patients encounter — not inflated chargemaster rates.
| # | Facility | City | Your Price | vs Median | Gross Charge |
|---|---|---|---|---|---|
| #1 | Boston Medical Center | Boston, MA | $337 | -$749 | $750–$2,738 |
| #2 | MetroWest Medical Center - Natick | Natick, MA | $377 | -$709 | $377–$3,517 |
| #3 | MetroWest Medical Center - Framingham | Framingham, MA | $377 | -$709 | $377–$3,761 |
| #4 | Boston Medical Center South | MA | $611 | -$475 | $1,359–$4,367 |
| #5 | Boston Medical Center Brighton | MA | $611 | -$475 | $1,359–$4,505 |
| #6 | South Shore Hospital | South Weymouth, MA | $623 | -$463 | $623–$926 |
| #7 | Northeast Rehabilitation Hospital | Salem, MA | $623 | -$463 | $623–$6,482 |
| #8 | Tufts Medical Center | Boston, MA | $640 | -$446 | $915–$6,821 |
| #9 | Anna Jaques Hospital | Newburyport, MA | $851 | -$235 | $851–$1,720 |
| #10 | Exeter Hospital Inc | Exeter, MA | $968 | -$118 | $968–$2,048 |
| #11 | Beth Israel Deaconess Hospital - Plymouth | Plymouth, MA | $1,069 | -$17 | $1,069–$1,764 |
| #12 | Beth Israel Deaconess Hospital - Needham | Needham, MA | $1,069 | -$17 | $1,069–$2,856 |
| #13 | Beth Israel Deaconess Medical Center | Boston, MA | $1,072 | -$14 | $1,072–$2,299 |
| #14 | Beth Israel Deaconess Hospital-Milton Inc | Milton, MA | $1,072 | -$14 | $1,072–$2,210 |
| #15 | Beverly Hospital Corporation | Beverly, MA | $1,086 | +$0 | $1,086–$2,299 |
| #16 | Mount Auburn Hospital | Cambridge, MA | $1,086 | +$0 | $1,086–$2,299 |
| #17 | Winchester Hospital | Winchester, MA | $1,086 | +$0 | $1,086–$2,299 |
| #18 | Lahey Hospital & Medical Center, Burlington | Burlington, MA | $1,086 | +$0 | $1,086–$2,299 |
| #19 | New England Baptist Hospital | Boston, MA | $1,186 | +$100 | $1,186–$2,256 |
| #20 | PORTSMOUTH REGIONAL HOSPITAL | Portsmouth, MA | $1,282 | +$196 | $1,282–$23,918 |
| #21 | SEABROOK EMERGENCY | Seabrook, MA | $1,282 | +$196 | $1,282–$23,918 |
| #22 | DOVER EMERGENCY ROOM | Dover, MA | $1,282 | +$196 | $1,282–$23,918 |
| #23 | PLAISTOW FSER | Plaistow, MA | $1,284 | +$198 | $1,284–$8,993 |
| #24 | PARKLAND MEDICAL CENTER | Derry, MA | $1,284 | +$198 | $1,284–$8,993 |
| #25 | FRISBIE MEMORIAL HOSPITAL | Rochester, MA | $1,332 | +$246 | $1,332–$22,781 |
| #26 | Dana-Farber Cancer Institute | Boston, MA | $1,608 | +$522 | $1,608 |
| #27 | Signature Healthcare Brockton Hospital | Brockton, MA | $1,786 | +$700 | $2,207–$9,218 |
| #28 | Boston Children's Hospital | MA | $2,577 | +$1,491 | $2,577–$8,237 |
| #29 | Curahealth Stoughton LLC | MA | $3,801 | +$2,715 | $3,801–$7,630 |
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Source: CMS hospital price transparency machine-readable files. vs Median = savings or premium relative to the state median price. Gross Charge = undiscounted list price for reference.
Received a bill? Check it for errors → Estimate YOUR cost before you go →
Compare other procedures in Boston, MA:
Where you can save the most on endoscopy in Boston, MA
These facilities have the lowest declared prices relative to the state median — they represent the best opportunities to reduce your out-of-pocket cost for this procedure.
| Facility | City | Your Price | vs Median |
|---|---|---|---|
| Boston Medical Center | Boston, MA | $337 | -$749 |
| MetroWest Medical Center - Natick | Natick, MA | $377 | -$709 |
| MetroWest Medical Center - Framingham | Framingham, MA | $377 | -$709 |
| Boston Medical Center South | MA | $611 | -$475 |
| Boston Medical Center Brighton | MA | $611 | -$475 |
How to choose a lower-cost facility
- Choose independent outpatient centers when possible — freestanding ASCs (ambulatory surgical centers) consistently charge less than hospital outpatient departments for identical procedures.
- Ask for the cash price if your deductible isn't met — self-pay rates are often lower than what insurance pays before your deductible is satisfied, especially at facilities that have a high cash-price discount.
- Avoid hospital outpatient departments for routine cases — hospital-owned locations add a facility fee that freestanding centers don't charge, often adding $500–$1,500 to the same procedure.
Most expensive endoscopy providers in Boston, MA
These facilities report the highest prices for this procedure. Academic medical centers and specialty hospitals often top this list — their gross charges rarely reflect what anyone actually pays, but understanding the spread helps you negotiate.
| Facility | City | Price | vs Median |
|---|---|---|---|
| Curahealth Stoughton LLC | MA | $3,801 | +$2,715 |
| Boston Children's Hospital | MA | $2,577 | +$1,491 |
| Signature Healthcare Brockton Hospital | Brockton, MA | $1,786 | +$700 |
| Dana-Farber Cancer Institute | Boston, MA | $1,608 | +$522 |
| FRISBIE MEMORIAL HOSPITAL | Rochester, MA | $1,332 | +$246 |
Why prices vary this much
A small number of hospitals (2) report very high prices above $2,245, which drives much of the overall price range. Excluding these, most facilities cluster in a significantly tighter band.
Setting drives much of the gap in Boston, MA: the median outpatient price is $1,079 versus $626 inpatient, so where a procedure is performed often matters more than which hospital you choose. Of the Boston, MA facilities reporting prices, 8 fall in a low-cost tier (up to $640) while 10 sit in a high-cost tier ($1,282 and up) — a lower-priced option almost always exists within the same state.
The spread comes from how each hospital sets its chargemaster (the undiscounted list price), what cash discounts it applies, and what rates it negotiates with each insurer. Facility classification matters too — a hospital-owned outpatient center adds a facility fee that a freestanding clinic does not. Understanding these mechanics is the first step to paying less.
Learn more:
→ Allowed amount vs negotiated rate — what your EOB is really saying
→ How to read your medical bill
→ Why hospital prices are so hard to find — and what to do about it
How insurance changes what you actually pay
Hospital list prices are only part of the picture. What you pay out of pocket depends on your deductible, your plan's out-of-pocket maximum, whether the facility is in-network, and whether your plan classifies the visit as outpatient or inpatient. A lower gross charge doesn't guarantee a lower bill if the facility is out-of-network or adds facility fees your plan doesn't cover.
Understand your cost before you go:
→ Deductible vs out-of-pocket max
→ EOB vs medical bill — complete guide
→ How to stop medical bill problems before they start (in-network vs out-of-network)
Compare endoscopy costs in nearby states
Frequently asked questions: endoscopy costs in Boston, MA
How much does an endoscopy cost in Boston, MA?
Across 29 Boston, MA hospitals that publish prices, an endoscopy ranges from $337 to $3,801, with a median of $1,086. Most facilities fall between $640 and $1,282. What you pay depends on the facility, your insurance, and whether you have met your deductible.
Where is the cheapest place to get an endoscopy in Boston, MA?
Based on declared prices, the lowest-cost facility in our Boston, MA data is Boston Medical Center in Boston at about $337. By metro, Boston has the lowest median ($1,072). Freestanding ambulatory surgery and imaging centers are often cheaper still and may not appear in hospital price data — ask your doctor whether one is an option.
Why is an endoscopy so much cheaper at some Boston, MA hospitals?
Prices vary up to 11.3× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Boston, MA, the median cash (self-pay) price is $1,086 versus a median negotiated rate of $851 — about 1.3× higher. Asking for the cash price or your insurer's negotiated rate is often the single biggest lever on what you pay.
How much will I actually pay out of pocket for an endoscopy in Boston, MA?
Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network — not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.
Explore all endoscopy cost data
→ See endoscopy costs across all states
Where You Get an Endoscopy Matters
Hospital outpatient departments typically charge 2–4× more than ASCs or independent centers for the same procedure — same outcome, very different bill.
Ambulatory Surgery Center
Ambulatory Surgery Center typically carries a mid-range price for an endoscopy. Typically 40–60% less than hospital OP for surgical procedures. Anesthesia billed separately. You can shop here — call ahead and ask for a self-pay or cash quote.
Hospital Outpatient Department
Hospital Outpatient Department typically carries a higher price for an endoscopy. Facility fee billed separately from professional fee. Provider-based billing adds facility overhead. You can shop here — call ahead and ask for a self-pay or cash quote.
What's Actually on Your Endoscopy Bill
A endoscopy involves multiple providers — each bills separately. Understanding each line item helps you verify your Explanation of Benefits and catch billing errors.
Asc
- Facility Fee — ASC facility fee — usually lower than hospital outpatient.
- Gastroenterologist Fee
- Anesthesia — Anesthesiologist/CRNA bills separately. Common out-of-network surprise.
- Pathology (if biopsy) (conditional) — CPT 88305 for biopsy specimen — only when tissue is sampled (43239), not a diagnostic-only EGD (43235).
Hospital Outpatient
- Facility Fee — Hospital outpatient facility fee — typically higher than an ASC.
- Gastroenterologist Fee
- Anesthesia
- Pathology (if biopsy) (conditional)
Endoscopy Cost by Type
Which type your doctor orders changes the billing code — and what you pay. Here's how the common types differ.
Diagnostic Upper Endoscopy (EGD)
Ordered to investigate symptoms or a prior finding — standard cost-sharing (deductible, coinsurance) applies. CPT 43235 — visualization only, no biopsy.
Upper Endoscopy with Biopsy
Adds a therapeutic step during the procedure, which changes the billing code and can add pathology charges. CPT 43239 — adds a pathology bill.
This Procedure Is Shoppable — Choosing the Right Facility Can Save Thousands
Endoscopy is elective and schedulable. You have time to compare facilities — and hospital outpatient prices often run 2–4× higher than ASC, Hospital OP for identical clinical outcomes.
How to shop: Ask your doctor for the CPT code, then call 2–3 facilities and request an out-of-pocket cost estimate. Confirm your insurance is accepted. If uninsured, ask for the cash-pay rate — it's usually 20–50% below the list price.
Who performs this: Endoscopy is typically performed by a Gastroenterology. The specialist's professional fee is billed separately from the facility charge — you will likely receive separate bills from each.
CostKits compiles hospital price transparency data to help families make informed decisions. If you've received a bill for this procedure:
→ Analyze your medical bill for errors
→ How to negotiate your medical bills
→ Track and manage your healthcare costs (free account)
One upper endoscopy can become four separate bills — and a biopsy adds a fifth surprise weeks later.
The free toolkit shows you:
- ✓ The four separate bills (facility, gastroenterologist, anesthesia, pathology) and which to scrutinize
- ✓ How a biopsy adds a pathology bill that arrives weeks after the procedure
- ✓ Why anesthesia ends up out-of-network even at an in-network surgery center
- ✓ Why an ambulatory surgery center costs less than a hospital for the identical procedure
- ✓ A real patient billing breakdown, line by line
Free for patients — takes 30 seconds to get.
We'll email it to you immediately. No account required, no spam.
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About the Author
John Caruso, FSA, MAAA
Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.
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