Upper GI endoscopy with biopsy at Fairview Hospital. CPT 43239.
What Fairview Hospital publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$1,819cash price (self-pay)
$2,285list price
$116–$2,916range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Other Government | Tri Tricare | $547 |
| Medicare | MCR Traditional Medicare | $582 |
| Medicare | MCRManaged Medicare HMO | $582 |
| Hospice | Comm Hospice | $591 |
| Other Government | MCR Miscellaneous | $591 |
| Other Government | MCRManaged USA Family | $591 |
| Other Government | MCRManaged VA | $591 |
| United Healthcare | Oth United VACCN | $591 |
| Fallon | MCRManaged Fallon Medicare Advantage | $593 |
| Fallon | MCRManaged Fallon Medicare SCO | $597 |
| Health New England | MCRManaged HNE Medicare Advantage | $598 |
| Blue Cross | MCRManaged Blue Cross VT Medicare HMO | $614 |
| CommCare Alliance | MCRManaged CCA One Care | $623 |
| Comm Fallon QHP | Comm Fallon QHP | $691 |
| Workers Comp | WC Workers Comp | $798 |
| Fallon | MCDManaged Fallon Medicaid ACO | $939 |
| Unicare | Comm Wellpoint (Unicare) | $992 |
| Comm HNE HMO | Comm HNE HMO | $1,019 |
| Health New England | Comm HNE | $1,080 |
| Comm HNE PPO | Comm HNE PPO | $1,083 |
| Point32Health | Comm Tufts QHPSUB (Network) | $1,330 |
| Allways NHP | Comm NHP | $1,479 |
| United Healthcare | Comm United BH | $1,485 |
| Point32Health | Comm Tufts QHPNONSUB (Network) | $1,538 |
| Aetna | Comm Aetna | $1,725 |
| Blue Cross | Comm Blue Cross VT PPO | $1,770 |
| Point32Health | Comm Tufts | $1,810 |
| United Healthcare | Comm UnitedHealthcare | $1,965 |
| Capital District Physicians' Health Plan | Comm CDPHP | $2,057 |
| Cigna | Comm Cigna Carelink | $2,057 |
Inpatient
$1,819cash price (self-pay)
$2,285list price
$1,082–$2,523range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Point32Health | Comm Tufts QHPSUB (Network) | $1,291 |
| Point32Health | MCDManaged Tufts (Network) | $1,291 |
| Workers Comp | WC Workers Comp | $1,457 |
| Allways NHP | Comm NHP | $1,479 |
| Point32Health | Comm Tufts QHPNONSUB (Network) | $1,481 |
| United Healthcare | Comm United BH | $1,485 |
| Blue Cross | Comm Blue Cross VT PPO | $1,645 |
| Aetna | Comm Aetna | $1,725 |
| Point32Health | Comm Tufts | $1,810 |
| United Healthcare | Comm UnitedHealthcare | $1,965 |
| Capital District Physicians' Health Plan | Comm CDPHP | $2,057 |
| MVP | Comm MVP | $2,057 |
| Oxford | Comm Oxford | $2,057 |
| Connecticare | Comm Connecticare | $2,171 |
| Consolidated Health Plans | Comm Consolidated Health | $2,171 |
| First Health | Comm First Health | $2,171 |
| Point32Health | Comm Harvard | $2,171 |
| Other Commercial | Comm Other | $2,171 |
| PHCS | Comm PHCS | $2,171 |
| Self Pay | Comm Self Pay | $2,171 |
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