Upper GI endoscopy with biopsy at Powers Health Rehabilitation Center. CPT 43239.
What Powers Health Rehabilitation Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,939cash price (self-pay)
$3,232list price
$171–$2,775range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BX ILL HMO MCNP [315] | Powers Health Partners | $171 |
| MEDICARE [100] | Medicare | $927 |
| MEDICARE REHAB [110] | Medicare | $927 |
| MEDICARE PSYCH [111] | Medicare | $927 |
| TRICARE [120] | Medicare | $927 |
| TRICARE PSYCH [121] | Medicare | $927 |
| TRICARE REHAB [122] | Medicare | $927 |
| CHAMPVA [130] | Medicare | $927 |
| VA [140] | Medicare | $927 |
| MEDICARE MANAGED CARE PLANS [152] | Medicare | $927 |
| HUMANA [390] | Humana HMO | $1,100 |
| HUMANA [390] | Humana PPO | $1,400 |
| CHOICECARE [395] | Humana PPO | $1,400 |
| UHC [370] | UHC Navigate/Core | $1,526 |
| UMR EMPLOYEE [411] | UHC Navigate/Core | $1,526 |
| UHC [370] | UHC All Payors | $1,694 |
| UHC [370] | UHC Options PPO | $1,694 |
| COMMERCIAL [600] | UHC All Payors | $1,694 |
| CIGNA [365] | Cigna One Health HMO | $1,707 |
| Phcs [380] | Phcs | $2,262 |
| Hfn [470] | Hfn | $2,262 |
| BLUE CROSS [300] | Anthem Blue Cross | $2,263 |
| ANTHEM CARPTENTERS [468] | Anthem Blue Cross | $2,263 |
| LOCAL 150 [471] | Anthem Blue Cross | $2,263 |
| ANTHEM X [801] | Anthem Blue Cross | $2,263 |
| Anthem Essentials [855] | Anthem Essentials | $2,263 |
| MEDICAID [200] | Indiana Medicaid | $2,274 |
| MEDICAID ADVANTAGED HEALTH [201] | Indiana Medicaid | $2,274 |
| MEDICAID MANAGED HEALTH [210] | Indiana Medicaid | $2,274 |
| MEDICAID CENPATICO BHS [211] | Indiana Medicaid | $2,274 |
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