Upper GI endoscopy with biopsy at USC Arcadia Hospital. CPT 43239.
What USC Arcadia Hospital publishes for this service, straight from its standard-charges file, last updated July 27, 2026.
Outpatient / ER
$40.95cash price (self-pay)
$128list price
$40.95–$4,522range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Self-Pay | Self-Pay | $44.80 |
| SELF-PAY - CA Resident | SELF-PAY - CA Resident | $51.20 |
| SELF-PAY - Non-CA Resident | SELF-PAY - Non-CA Resident | $51.20 |
| Healthcare Partners | Healthcare Partners | $55.74 |
| Ahmc Allied | Ahmc Allied | $64.00 |
| Cigna | Cigna | $69.63 |
| Cigna PPO | Cigna PPO | $69.63 |
| UHC Navigate/Select | UHC Navigate/Select | $73.36 |
| Healthnet HMO | Healthnet HMO | $74.33 |
| Phcs | Phcs | $80.64 |
| Blue Shield HMO | Blue Shield HMO | $85.50 |
| Blue Shield PPO | Blue Shield PPO | $85.50 |
| Affliated Health | Affliated Health | $96.00 |
| Beech Street | Beech Street | $96.00 |
| Interlink | Interlink | $102 |
| Multiplan | Multiplan | $102 |
| Three Rivers | Three Rivers | $102 |
| Interplan | Interplan | $109 |
| Medigap | Medigap | $128 |
| Non Contracted (100% Poc) | Non Contracted (100 Poc) | $128 |
| BLUE SHIELD SR Other | BLUE SHIELD SR Other | $1,114 |
| BLUE SHIELD SR Mediconnect | BLUE SHIELD SR Mediconnect | $1,126 |
| Blue Shield Sr | Blue Shield Sr | $1,161 |
| MEDICARE MANAGED 100 Percantage | MEDICARE MANAGED 100 Percentage | $1,161 |
| Molina Exchange (Mcr) | Molina Exchange (Mcr) | $1,219 |
| Blue Shield Exchange | Blue Shield Exchange | $1,251 |
| Health Sharing Ministry (Mcr) | Health Sharing Ministry (Mcr) | $1,277 |
| Healthnet PPO Enhanced | Healthnet PPO Enhanced | $1,347 |
| Healthnet HMO Exchange (Mcr) | Healthnet HMO Exchange (Mcr) | $1,451 |
| Mhsc Employee (Mcr) | Mhsc Employee (Mcr) | $1,625 |
Inpatient
$40.95cash price (self-pay)
$128list price
$87.75–$2,666range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Affliated Health | Affliated Health | $96.00 |
| Beech Street | Beech Street | $96.00 |
| Interlink | Interlink | $102 |
| Interplan | Interplan | $102 |
| Multiplan | Multiplan | $102 |
| Three Rivers | Three Rivers | $102 |
| Medigap | Medigap | $128 |
| Non Contracted (100% Poc) | Non Contracted (100 Poc) | $128 |
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