Upper GI endoscopy with biopsy at Ukiah Adventist Hospital. CPT 43239.
What Ukiah Adventist Hospital publishes for this service, straight from its standard-charges file, last updated May 24, 2026.
Outpatient / ER
$93.60cash price (self-pay)
$468list price
$15.00–$656range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser Medi-Cal | Kaiser Medi-Cal | $15.00 |
| Medi-Cal | Medi-Cal | $15.00 |
| Blue Cross Mcs-All Other Plans | Blue Cross Mcs-All Other Plans | $66.41 |
| Blue Cross Non-Mcs | Blue Cross Non-Mcs | $66.41 |
| Kaiser Mcr Adv | Kaiser Mcr Adv | $124 |
| Blue Shield Mcr Adv | Blue Shield Mcr Adv | $124 |
| Tricare Blue Shield-All Plans | Tricare Blue Shield-All Plans | $124 |
| Ah Employee Health Plan - All Plans | Ah Employee Health Plan - All Pl | $137 |
| Aetna-All Plans | Aetna-All Plans | $164 |
| Cigna-All Plans | Cigna-All Plans | $171 |
| UHC Jll Csp 1/1/25 | UHC Jll Csp 1/1/25 | $175 |
| Western Growers-All Plans | Western Growers-All Plans | $178 |
| Healthnet-All Plans | Healthnet-All Plans | $181 |
| UHC All Payer-All Other Plans | UHC All Payer-All Other Plans | $182 |
| Mendocino Lcc District-All Plans | Mendocino Lcc District-All Plans | $304 |
| Kaiser-All Other Plans | Kaiser-All Other Plans | $374 |
| Three Rivers-All Plans | Three Rivers-All Plans | $421 |
| 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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