Upper GI endoscopy with biopsy at CaroMont Regional Medical Center - Mount Holly, Emergency Department. CPT 43239.
What CaroMont Regional Medical Center - Mount Holly, Emergency Department publishes for this service, straight from its standard-charges file, last updated May 11, 2026.
Outpatient / ER
$2,923cash price (self-pay)
$3,702list price
$440–$6,824range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue | Medicaid Managed Care | $557 |
| Carolina Complete Health | Medicaid Managed Care | $557 |
| Partners Behavioral Health | Medicaid | $557 |
| Amerihealth Caritas | Medicaid Managed Care | $568 |
| Alliance Behavioral Health | Medicaid | $568 |
| Carolina Complete Health Tailored Plans | Medicaid Managed Care | $568 |
| United HealthCare | Medicaid Managed Care | $568 |
| Vaya Behavioral Health | Medicaid | $568 |
| Wellcare | Medicaid Managed Care | $568 |
| Blue Cross Blue | Medicare Advantage | $927 |
| United HealthCare | Medicare Advantage | $927 |
| United Healthcare Behavioral Health | Medicare Advantage | $927 |
| Aetna | Medicare Advantage | $964 |
| HealthTeam | Medicare Advantage | $973 |
| Devoted Health | Medicare Advantage | $973 |
| Longevity Health | Medicare Advantage | $973 |
| Molina | Medicare Advantage | $973 |
| Humana ChoiceCare | Medicare Advantage | $991 |
| Gaston County Jail | Other | $1,114 |
| Blue Cross Blue Value Individual | Commercial | $1,234 |
| Absolute Total Care | Medicaid Managed Care | $1,270 |
| Molina | Medicaid Managed Care | $1,270 |
| Blue Cross | HMO PPO | $1,344 |
| Surgery Plus | Commercial | $1,622 |
| Cigna | Individual Family Plan | $1,724 |
| Aetna | NC Preferred | $1,832 |
| Aetna | PPO | $1,832 |
| MedCost | Commercial | $1,988 |
| Cigna | PPO | $2,107 |
| Carolina Caring | Commercial | $2,317 |
Inpatient
$2,923cash price (self-pay)
$3,702list price
—range insurers pay
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All common services at CaroMont Regional Medical Center - Mount Holly, Emergency Department