Upper GI endoscopy with biopsy at Sequoia Hospital. CPT 43239.

What Sequoia Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

—cash price (self-pay)

—list price

$269–$14,570range insurers pay

Insurance plan	Negotiated rate
BCBS - Anthem \| Medicaid\|< 21	$269
BCBS - Anthem \| Medicaid\|> 21	$269
Kaiser \| Medicaid\|< 21	$269
Kaiser \| Medicaid\|> 21	$269
Partnership Health Plan \| Medicaid\|< 21	$269
Partnership Health Plan \| Medicaid\|> 21	$269
Health Net \| Medicaid\|< 21	$331
Health Net \| Medicaid\|> 21	$331
Brown Toland \| Medicare\|All Plans	$504
Health Plan San Mateo \| Medicaid\|< 21	$521
Health Plan San Mateo \| Medicaid\|> 21	$521
Health Net \| Commercial\|Canopy Health	$1,375
Humana \| Commercial\|All Plans	$1,375
Aetna \| Medicare\|All Plans	$1,375
BCBS - Anthem \| Medicare\|All Plans	$1,375
Blue Shield CA \| Medicare\|All Plans	$1,375
Chinese Community \| Medicare\|All Plans	$1,375
Health Net \| Medicare\|All Plans	$1,375
Health Plan San Mateo \| Medicare\|All Plans	$1,375
Humana \| Medicare\|All Plans	$1,375
Kaiser \| Medicare\|All Plans	$1,375
United \| Medicare\|All Plans	$1,375
Brown Toland \| Commercial\|All Plans	$1,512
Sutter Health \| Commercial\|All Plans	$4,304
Aetna \| Commercial\|All Plans	$5,324
Blue Shield CA \| Commercial\|Exchange	$5,581
Blue Shield CA \| Commercial\|ACO Trio	$5,749
Blue Shield CA \| Commercial\|All Other Plans	$7,448
Health Net \| Commercial\|Care Product	$7,643
BCBS - Anthem \| Commercial\|All Other Plans	$8,596

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