Upper GI endoscopy with biopsy at Teton Valley Health Care. CPT 43239.
What Teton Valley Health Care publishes for this service, straight from its standard-charges file, last updated July 21, 2026.
Outpatient / ER
$254cash price (self-pay)
$317list price
$116–$777range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Prime Health Services-All Other Plans | Prime Health Services-All Othe | $116 |
| Triwest-All Plans | Triwest-All Plans | $116 |
| UHC Medicare Advantage | UHC Medicare Advantage | $116 |
| Humana-All Plans | Humana-All Plans | $116 |
| Prime Health Medicare Advantage | Prime Health Medicare Advantage | $116 |
| Regence Blue Shield Medicare Advantage | Regence Blue Shield Medicare | $116 |
| Select Health Medicare Advantage | Select Health Medicare Advantage | $116 |
| Town And Country-All Plans | Town And Country-All Plans | $145 |
| Cigna Oap | Cigna Oap | $174 |
| Blue Cross Qhp | Blue Cross Qhp | $188 |
| Blue Cross Trad/PPO/POS-All Other Plans | Blue Cross Trad/PPO/POS-All | $188 |
| Cigna PPO-All Other Plans | Cigna PPO-All Other Plans | $197 |
| Moda-All Plans | Moda-All Plans | $203 |
| Brightpath-All Plans | Brightpath-All Plans | $233 |
| Select Health-All Other Plans | Select Health-All Other Plans | $233 |
| Pacific Source-All Plans | Pacific Source-All Plans | $259 |
| Blue Cross Medicaid | Blue Cross Medicaid | $283 |
| Blue Cross Mcr Adv | Blue Cross Mcr Adv | $317 |
| First Choice-All Plans | First Choice-All Plans | $367 |
| St Lukes Brightpath-All Plans | St Lukes Brightpath-All Plans | $777 |
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