Upper GI endoscopy with biopsy at Cheyenne County Hospital. CPT 43239.
What Cheyenne County Hospital publishes for this service, straight from its standard-charges file, last updated August 4, 2026.
Outpatient / ER
$1,574cash price (self-pay)
$245list price
$4.79–$2,777range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Coventry - All Other Plans | Aetna Coventry - All Other Plans | $4.79 |
| Aetna Mcr Adv | Aetna Mcr Adv | $110 |
| Healthy Blue Mcr Adv | Healthy Blue Mcr Adv | $116 |
| Tricare/Triwest - All Plans | Tricare/Triwest - All Plans | $116 |
| UHC Mcr Adv | UHC Mcr Adv | $116 |
| UHC Optum Va | UHC Optum Va | $116 |
| Choice Care - All Plans | Choice Care - All Plans | $128 |
| Providers Care-All Plans | Providers Care-All Plans | $163 |
| First Health - All Plans | First Health - All Plans | $163 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $167 |
| BCBS PPO - All Plans | BCBS PPO - All Plans | $204 |
| Wppa - All Plans | Wppa - All Plans | $220 |
| Preferred Hc - All Plans | Preferred Hc - All Plans | $233 |
| Cpm - All Plans | Cpm - All Plans | $233 |
| Midlands Choice - All Plans | Midlands Choice - All Plans | $237 |
| Health Partners - All Plans | Health Partners - All Plans | $240 |
| PPO Next - All Plans | PPO Next - All Plans | $240 |
| Integrated Hp - All Plans | Integrated Hp - All Plans | $240 |
| Unicare - All Plans | Unicare - All Plans | $240 |
| Firstguard - All Plans | Firstguard - All Plans | $254 |
| Childrens Mercy - All Plans | Childrens Mercy - All Plans | $285 |
| Healthwave Mcaid - All Plans | Healthwave Mcaid - All Plans | $285 |
| UHC Medicaid & Chip | UHC Medicaid & Chip | $285 |
| Healthy Blue Mcaid - All Other Plans | Healthy Blue Mcaid - All Other | $285 |
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