Upper GI endoscopy with biopsy at Breckinridge Memorial Hospital. CPT 43239.
What Breckinridge Memorial Hospital publishes for this service, straight from its standard-charges file, last updated July 16, 2026.
Outpatient / ER
$414cash price (self-pay)
$827list price
$107–$827range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Tricare - All Plans | Tricare - All Plans | $107 |
| Ambetter Comm/Exch - All Plans | Ambetter Comm/Exch - All Plans | $119 |
| Blue Cross Mcr Adv | Blue Cross Mcr Adv | $119 |
| Caresource - All Plans | Caresource - All Plans | $119 |
| UHC Mcr Adv | UHC Mcr Adv | $119 |
| University Health Care Mcr Adv | University Health Care Mcr Adv | $119 |
| Aetna Mcr Adv | Aetna Mcr Adv | $119 |
| Molina Mcr Adv - All Plans | Molina Mcr Adv - All Plans | $119 |
| UHC Va Ccn | UHC Va Ccn | $119 |
| Wellcare Mcr Adv | Wellcare Mcr Adv | $119 |
| Aetna Better Health Medicaid | Aetna Better Health Medicaid | $827 |
| Blue Cross Medicaid | Blue Cross Medicaid | $827 |
| Blue Cross Mcare Select | Blue Cross Mcare Select | $827 |
| Wellcare Mcaid - All Other Plans | Wellcare Mcaid - All Other Plans | $827 |
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