Upper GI endoscopy with biopsy at Northern Light AR Gould Hospital. CPT 43239.
What Northern Light AR Gould Hospital publishes for this service, straight from its standard-charges file, last updated March 30, 2026.
Outpatient / ER
$190cash price (self-pay)
$906list price
$125–$5,078range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | MCR Advantage | $330 |
| Martin's Point | MCR Advantage | $337 |
| UHC | MCR Advantage | $337 |
| Wellcare | MCR Advantage | $337 |
| Aetna | MCR Advantage | $458 |
| Anthem | Commercial | $589 |
| Anthem | Enhanced Pathways | $589 |
| CHO | Commercial | $589 |
| Harvard | Commercial | $637 |
| Cigna | Commercial | $676 |
| UHC | Commercial | $694 |
| Aetna | Commercial | $706 |
Inpatient
$190cash price (self-pay)
$906list price
$589–$676range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Commercial | $589 |
| Anthem | Enhanced Pathways | $589 |
| CHO | Commercial | $589 |
| UHC | Commercial | $631 |
| Aetna | Commercial | $673 |
| Cigna | Commercial | $676 |
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