Upper GI endoscopy with biopsy at Piedmont Mountainside. CPT 43239.
What Piedmont Mountainside publishes for this service, straight from its standard-charges file, last updated July 1, 2026.
Outpatient / ER
$1,389cash price (self-pay)
$4,631list price
$503–$4,631range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AMERIGROUP MEDICAID [20100] | Amerigroup | $503 |
| PEACH STATE MEDICAID [20101] | Peach State Medicaid | $528 |
| CARESOURCE MEDICAID [20104] | Caresource Medicaid | $528 |
| BLUE CROSS [10001] | Blue Cross HMO | $2,051 |
| BLUE CROSS [10001] | Blue Cross PPO | $2,155 |
| UNITED HEALTHCARE EXCHANGE [11110] | United Healthcare Exchange | $2,805 |
| FIRST HEALTH [10303] | First Health | $3,242 |
| AETNA [10100] | Aetna HMO/PPO | $3,293 |
| NOVANET [10819] | Novanet | $3,473 |
| BEECHSTREET [10800] | Beechstreet | $3,705 |
| Phcs [10601] | Phcs | $3,705 |
| KAISER [10500] | Kaiser | $3,936 |
| MULTIPLAN [10600] | Multiplan | $3,936 |
| UHC [10700] | United Healthcare | $4,315 |
| ALLIANT HEALTH PLANS OF GEORGIA [10952] | Alliant | $4,631 |
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