Upper GI endoscopy with biopsy at Adams Memorial Hospital. CPT 43239.
What Adams Memorial Hospital publishes for this service, straight from its standard-charges file, last updated August 14, 2026.
Outpatient / ER
$781cash price (self-pay)
$781list price
$93.02–$664range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Hlthy In | Anthem Hlthy In | $116 |
| Anthem Mcr Adv | Anthem Mcr Adv | $116 |
| Caresource Hlthy In | Caresource Hlthy In | $116 |
| Caresource Oh Mcare | Caresource Oh Mcare | $116 |
| Encore PPO - All Plans | Encore PPO - All Plans | $116 |
| Mhs Hlthy In | Mhs Hlthy In | $116 |
| Mhs Mcare | Mhs Mcare | $116 |
| Paramount Mcare | Paramount Mcare | $116 |
| Va Ccn - All Plans | Va Ccn - All Plans | $116 |
| Buckeye Mcare - All Other Plans | Buckeye Mcare - All Other Plans | $116 |
| Caresource Oh Marketplace | Caresource Oh Marketplace | $116 |
| Aetna Mcr Adv | Aetna Mcr Adv | $119 |
| Buckeye Mcaid | Buckeye Mcaid | $124 |
| Caresource Hoosier | Caresource Hoosier | $124 |
| Humana Choicecare Mcaid | Humana Choicecare Mcaid | $124 |
| Mdwise Mcaid | Mdwise Mcaid | $124 |
| Paramount Mcaid | Paramount Mcaid | $124 |
| Amerihealth Caritas Medicaid - All Plans | Amerihealth Caritas Medicai | $124 |
| Caresource Oh Mcaid | Caresource Oh Mcaid | $124 |
| Caresource Mcr Adv | Caresource Mcr Adv | $128 |
| Humana Choicecare Mcr PPO | Humana Choicecare Mcr PPO | $131 |
| Humana Choicecare - All Other Plans | Humana Choicecare - All Other Pl | $131 |
| Caresource Comm - All Other Plans | Caresource Comm - All Other Plans | $134 |
| Aetna - All Other Plans | Aetna - All Other Plans | $138 |
| First Health - All Plans | First Health - All Plans | $138 |
| Siho - All Plans | Siho - All Plans | $151 |
| Mdwise Marketplace - All Other Plans | Mdwise Marketplace - All Other | $155 |
| UHC Comm - All Other Plans | UHC Comm - All Other Plans | $174 |
| Prov Ntwrk Of America - All Plans | Prov Ntwrk Of America - All Plans | $174 |
| Gpa - All Plans | Gpa - All Plans | $180 |
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