Upper GI endoscopy with biopsy at Memorial Hospital and Manor. CPT 43239.
What Memorial Hospital and Manor publishes for this service, straight from its standard-charges file, last updated May 1, 2026.
Outpatient / ER
$466cash price (self-pay)
$665list price
$419–$1,213range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup_plan | Medicaid | $419 |
| Medicaid__plan | Medicaid | $419 |
| Peach_state_health_plan_plan | Medicaid | $419 |
| Caresource_plan | Medicaid | $440 |
| Tnga_plan | Commercial | $450 |
| Anthem_plan | Commercial | $514 |
| Humana_commercial_plan | Commercial | $519 |
| Aetna_plan | Commercial | $525 |
| Uhc_plan | Commercial | $525 |
| Humana_choice_care_plan | Commercial | $532 |
| Novanet_plan | Commercial | $532 |
| Cigna_plan | Commercial | $552 |
| Private_healthcare_systems_plan | Commercial | $565 |
| Aetna_medical_rental_plan | Commercial | $599 |
| Multiplan_plan | Commercial | $599 |
| Corvel_plan | Commercial | $632 |
| Tricare_plan | Medicare | $705 |
| Aetna_medicare_plan | Medicare | $758 |
| Humana_medicare_plan | Medicare | $758 |
| Medicare_plan | Medicare | $758 |
| Uhc_medicare_plan | Medicare | $758 |
| Wellcare_plan | Medicare | $758 |
| Ambetter_plan | Medicare | $985 |
| Alliant_plan | Medicare | $1,213 |
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