Upper GI endoscopy with biopsy at Jefferson County Health Center. CPT 43239.
What Jefferson County Health Center publishes for this service, straight from its standard-charges file, last updated August 20, 2026.
Outpatient / ER
$680cash price (self-pay)
$1,133list price
$75.00–$1,133range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Mcr Adv | Molina Mcr Adv | $75.00 |
| Tricare - All Plans | Tricare - All Plans | $112 |
| Aetna Mcr Adv | Aetna Mcr Adv | $115 |
| Iowa Total Care Comm - All Other Plans | Iowa Total Care Comm - All Ot | $115 |
| Iowa Total Care Mcr | Iowa Total Care Mcr | $115 |
| UHC Va Ccn | UHC Va Ccn | $115 |
| Amerigroup Mcr Adv | Amerigroup Mcr Adv | $115 |
| Coventry Medicare | Coventry Medicare | $115 |
| Humana Medicare-All Plans | Humana Medicare-All Plans | $115 |
| UHC Mcr Adv | UHC Mcr Adv | $115 |
| Midlands Choice-All Other Plans | Midlands Choice-All Other Plans | $306 |
| Midlands New Product | Midlands New Product | $306 |
| UHC All Payer-All Other Plans | UHC All Payer-All Other Plans | $514 |
| Amerigroup Medicaid - All Other Plans | Amerigroup Medicaid - All Othe | $1,133 |
| Molina Mcaid/Chip | Molina Mcaid/Chip | $1,133 |
| Iowa Total Care Mcaid | Iowa Total Care Mcaid | $1,133 |
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