Upper GI endoscopy with biopsy at Northern Light Sebasticook Valley Hospital. CPT 43239.
What Northern Light Sebasticook Valley Hospital publishes for this service, straight from its standard-charges file, last updated March 30, 2026.
Outpatient / ER
$342cash price (self-pay)
$1,006list price
$125–$5,078range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | MCR Advantage | $382 |
| Anthem | MCR Advantage | $382 |
| Martin's Point | MCR Advantage | $382 |
| UHC | MCR Advantage | $382 |
| Wellcare | MCR Advantage | $382 |
| Anthem | Commercial | $654 |
| Anthem | Enhanced Pathways | $654 |
| Aetna | Commercial | $679 |
| Harvard | Commercial | $708 |
| UHC | Commercial | $708 |
| Cigna | Commercial | $750 |
| CHO | Commercial | $812 |
Inpatient
$342cash price (self-pay)
$1,006list price
$654–$1,006range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Commercial | $654 |
| Anthem | Enhanced Pathways | $654 |
| UHC | Commercial | $729 |
| Cigna | Commercial | $750 |
| Aetna | Commercial | $755 |
| CHO | Commercial | $1,006 |
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All common services at Northern Light Sebasticook Valley Hospital