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Upper GI endoscopy with biopsy at Adventist Health Medical Center Tehachapi. CPT 43239.

What Adventist Health Medical Center Tehachapi publishes for this service, straight from its standard-charges file, last updated May 21, 2026.

Outpatient / ER

$126cash price (self-pay)
$468list price
$40.00–$656range insurers pay
Insurance planNegotiated rate
Medi-Cal | Medi-Cal$40.00
Universal Ipa Mcal Op/Profee Only | Universal Ipa Mcal Op/Profee Only$40.00
Healthnet Mcare | Healthnet Mcare$125
Tricare Blue Shield | Tricare Blue Shield$125
UHC Mcr Adv | UHC Mcr Adv$125
Universal Ipa Mcr Adv Op/Profee Only-All Other Pla | Universal Ipa Mcr$125
Network Providers- All Plans | Network Providers- All Plans$136
Ah Employee Health Plan - All Plans | Ah Employee Health Plan - All Pl$138
Oscar Health Plan- All Plans | Oscar Health Plan- All Plans$144
Coventry- All Plans | Coventry- All Plans$150
Cigna- All Plans | Cigna- All Plans$163
Aetna-All Plans | Aetna-All Plans$163
Western Grwrs/Pinnacle - All Plans | Western Grwrs/Pinnacle - All Plan$174
UHC All Payer- All Other Plans | UHC All Payer- All Other Plans$182
UHC Jll Csp | UHC Jll Csp$182
Healthnet- All Other Plans | Healthnet- All Other Plans$182
Centivo - All Plans | Centivo - All Plans$188
Blue Cross Non-Mcs- All Other Plans | Blue Cross Non-Mcs- All Other Pl$432
Blue Shield Epn- All Other Plans | Blue Shield Epn- All Other Plans$621
Blue Shield Non-Epn | Blue Shield Non-Epn$656
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All common services at Adventist Health Medical Center Tehachapi