Upper GI endoscopy with biopsy at Nemours Children's Hospital. CPT 43239.
What Nemours Children's Hospital publishes for this service, straight from its standard-charges file, last updated March 10, 2026.
Outpatient / ER
$4,812cash price (self-pay)
$4,812list price
$622–$4,571range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Us Family Health Plan | Tricare | $622 |
| Keystone First Hlth Plan | Medicaid HMO | $960 |
| Tricare | Tricare | $981 |
| Highmark BCBS Of Delaware Health Options | Medicaid HMO | $1,490 |
| Celtic Transplant For De First Health | Commercial | $1,684 |
| UHC Community Plan Of Pa | Medicaid HMO | $1,766 |
| Wellpoint Maryland | Medicaid HMO | $1,780 |
| Kidz Partners | Chip | $1,820 |
| Health Partners | Medicaid HMO | $1,867 |
| Upmc | Medicaid HMO/Chip | $1,906 |
| Fidelis | Medicaid HMO | $1,925 |
| Aetna Better Health Pennsylvania | Chip | $2,041 |
| Keystone First Hlth Plan | Chip | $2,081 |
| Independence Blue Cross | Commercial | $2,122 |
| Priority Partners John Hopkins | Commercial | $2,360 |
| Six Degrees Health Transplant | Commercial | $2,406 |
| Highmark BCBS Of Delaware | Commercial | $2,658 |
| Cigna Lifesource Transplant | Commercial | $2,695 |
| Aetna | HMO | $2,743 |
| Celtic Transplant For Ambetter Exchange | Commercial | $2,743 |
| Aetna | PPO | $2,743 |
| Aetna | Indemnity | $2,791 |
| Geisinger Health Plan | Commercial | $2,887 |
| Integra Administrative Group | Commercial | $2,887 |
| UHC Of Mid-Atlantic | Commercial | $3,003 |
| Cigna Healthcare | All | $3,032 |
| Great West-One Health Plan | Commercial | $3,032 |
| National Transplant Network (Ntn) | Commercial | $3,128 |
| Star Healthcare Network | Commercial | $3,128 |
| Six Degrees Health | Commercial | $3,128 |
Inpatient
$4,812cash price (self-pay)
$4,812list price
$1,107–$4,812range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Us Family Health Plan | Tricare | $1,107 |
| Keystone First Hlth Plan | Chip | $2,129 |
| Aetna Better Health Pennsylvania | Chip | $2,153 |
| Independence Blue Cross | Commercial | $2,161 |
| Cigna Healthcare | All | $2,647 |
| Great West-One Health Plan | Commercial | $2,647 |
| Aetna | HMO | $2,791 |
| Aetna | PPO | $2,791 |
| Tricare | Tricare | $3,850 |
| Celtic Transplant | Commercial | $4,812 |
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