Upper GI endoscopy with biopsy at Mountains Community Hospital. CPT 43239.
What Mountains Community Hospital publishes for this service, straight from its standard-charges file, last updated January 14, 2026.
Outpatient / ER
$120cash price (self-pay)
$301list price
$135–$826range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | Med Adv | $135 |
| Aetna | Med Adv | $144 |
| Blue Shield | Covered California | $187 |
| Kaiser | All Products | $193 |
| Aetna | All Products | $211 |
| Cigna | All Products | $211 |
| Usa | All Products | $226 |
| Blue Cross | All Products | $230 |
| Kaiser | Med Adv | $234 |
| Healthnet | All Products | $242 |
| Phcs | All Products | $256 |
| Ccn | All Products | $826 |
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