Upper GI endoscopy with biopsy at Cabinet Peaks Medical Center. CPT 43239.
What Cabinet Peaks Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$584cash price (self-pay)
$834list price
$74.14–$927range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| PACIFIC SOURCE | MEDICARE ADVANTAGE - Lac FAC | $74.14 |
| Pacific Source | Medicare Advantage - Nd_ndla_ndmt_ndpt Fac | $86.50 |
| Pacific Source | All Products - Has_lact_ldem_lmp_lmt_rn Fac | $89.18 |
| PACIFIC SOURCE | MEDICARE ADVANTAGE - Physician FAC | $127 |
| Allegiance | Mlp Fac | $183 |
| Pacific Source | All Products - Od_ Psyr Fac | $190 |
| Pacific Source | All Products - Pa Fac | $190 |
| Pacific Source | All Products - Ahnp_cnm_cns_crna_fnp_mhnp_ndcm_np Fac | $190 |
| PACIFIC SOURCE | ALL PRODUCTS - PhD_ PsyD FAC | $190 |
| Allegiance | Np & Od Fac | $194 |
| Allegiance | Md Fac | $216 |
| Pacific Source | All Products - Md_do Fac | $223 |
| Pacific Source | All Products - Dpm Fac | $223 |
| Pacific Source | All Products - Has_lact_ldem_lmp_lmt_rn Non-Fac | $249 |
| PACIFIC SOURCE | MEDICARE ADVANTAGE - Lac NON FAC | $251 |
| CHN | ALL PRODUCTS - Physicians FAC | $282 |
| PACIFIC SOURCE | ALL PRODUCTS - Lac_ LAC_LCSW_LCPC_LPC_LMFT_BCBA_GENC | $293 |
| Pacific Source | All Products - Dc_dcan.Dcla_dcnd_dcpt_ndpt_pt_ot_nd_n | $339 |
| FCHN | ALL PRODUCTS - Category D Provider NON-FAC | $376 |
| FCHN | ALL PRODUCTS - Category C Provider NON-FAC | $408 |
| PACIFIC SOURCE | MEDICARE ADVANTAGE - Physician NON-FAC | $431 |
| Allegiance | Mlp Non-Fac | $504 |
| Pacific Source | All Products - Pa Non-Fac | $530 |
| Pacific Source | All Products - Od_ Psyr Non-Fac | $530 |
| PACIFIC SOURCE | ALL PRODUCTS - PhD_ PsyD NON-FAC | $530 |
| FCHN | ALL PRODUCTS - Category B Provider NON-FAC | $533 |
| Allegiance | Np & Od Non-Fac | $534 |
| CHN | ALL PRODUCTS - Physicians NON-FAC | $566 |
| Allegiance | Md Non-Fac | $593 |
| Pacific Source | All Products - Md_do Non-Fac | $623 |
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