Upper GI endoscopy with biopsy at UMass Memorial Medical Center University Campus. CPT 43239.
What UMass Memorial Medical Center University Campus publishes for this service, straight from its standard-charges file, last updated March 26, 2026.
Outpatient / ER
$3,455cash price (self-pay)
$12,379list price
$2.89–$4,771range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| WELLSENSE MEDICAID [10901] | All WELLSENSE MEDICAID (FORMERLY BMC) UM | $5.24 |
| WELLSENSE MEDICAID [10901] | All WELLSENSE SPECIAL KIDS (FORMERLY BMC) | $6.55 |
| TUFTS MEDICAID [10908] | All TUFTS TOGETHER UM [121] Plans | $83.37 |
| HSNO/FREE CARE [10801] | All HSNO UM [68] Plans | $672 |
| HARVARD PILGRIM [10701] | All HARVARD PILGRIM PPO UM [114] Plans | $762 |
| HARVARD PILGRIM [10701] | All HARVARD PILGRIM HMO UM [113] Plans | $762 |
| HARVARD PILGRIM [10701] | All HARVARD PILGRIM BETH ISRAEL LAHEY UM [26 | $762 |
| BCBS [10301] | All BC HMO UM [11] Plans | $871 |
| BCBS [10301] | All BC PPO UM [44] Plans | $871 |
| WORKERS COMPENSATION [20501] | All WORKERS COMP UM [16] Plans | $881 |
| INSTITUTION [10406] | All HOSPICE GENERIC [237] Plans | $1,087 |
| CORRECTIONAL CARE [11003] | All CORRECTIONAL CARE STATE UM [94] Plans | $1,087 |
| CORRECTIONAL CARE [11003] | All CORRECTIONAL CARE FORT DEVENS UM [161] | $1,087 |
| TUFTS DUAL [10111] | All TUFTS UNIFY UM [230] Plans | $1,087 |
| UHC MCR SUPP AARP [20211] | All MEDICARE ADVANTAGE (MINUS IME) UM [133 | $1,087 |
| MEDICARE [20206] | All MEDICARE/ MEDICARE ADV PLANS/ INST UM [67] Plan | $1,087 |
| INSTITUTION [10406] | All HOSPICE UM [288] Plans | $1,087 |
| MEDICAID [20301] | All MEDICAID OF CT [28] Plans | $1,087 |
| TUFTS US FAMILY [11203] | All TUFTS US FAMILY UM [290] Plans | $1,087 |
| BCBS MCR SUPP [20201] | All BC MCR UM [63] Plans | $1,123 |
| COMMONWEALTH CARE MCR [10115] | All ONE CARE UM [144] Plans | $1,141 |
| FALLON MCR [10105] | All FALLON SENIOR UM [137] Plans | $1,141 |
| ETERNALHEALTH MCR REPLACE [10116] | All MEDICARE ADV AT 105% UM [136] | $1,141 |
| UHC DUAL [10118] | All UHC COMMUNITY CARE SCO (EVERCARE) UM [228] Plan | $1,141 |
| MGB MCR [10124] | All MGB MCR UM [316] Plans | $1,141 |
| TUFTS MCR SUPP [20209] | All TUFTS MCR UM [241] Plans | $1,141 |
| HARVARD PILGRIM MCR SUPP [20203] | All HARVARD PILGRIM MCR UM [140] Pl | $1,141 |
| UHC MCR REPLACE AARP [10114] | All UHC MCR UM [317] Plans | $1,163 |
| SENIOR WHOLE HEALTH [10110] | All SENIOR WHOLE HEALTH UM [132] Plans | $1,163 |
| CHAMPVA [11001] | All TRICARE / CHAMPVA UM [164] Plans | $1,192 |
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All common services at UMass Memorial Medical Center University Campus