Upper GI endoscopy with biopsy at Jefferson Community Health Center. CPT 43239.
What Jefferson Community Health Center publishes for this service, straight from its standard-charges file, last updated July 9, 2026.
Outpatient / ER
—cash price (self-pay)
$1,733list price
$404–$2,552range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Nebraska Total Care | Medicaid MCO | $867 |
| United Healthcare Medicaid | Medicaid MCO | $867 |
| Molina | Medicaid MCO | $867 |
| Aetna Medicare Advantage | Medicare Advantage | $1,022 |
| United Healthcare Medicare Advantage | Medicare Advantage | $1,022 |
| Blue Cross Medicare Advantage | Medicare Advantage | $1,022 |
| Blue Cross HIX | Health Exchange | $1,564 |
| Blue Cross HMO/PPO | HMO/PPO | $1,646 |
| United Healthcare HMO/PPO | HMO/PPO | $1,646 |
| Aetna HMO/PPO | HMO/PPO | $1,664 |
| Midlands Choice | HMO/PPO | $1,664 |
Inpatient
—cash price (self-pay)
$1,733list price
$729–$2,552range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross HIX | Health Exchange | $1,564 |
| Blue Cross HMO/PPO | HMO/PPO | $1,646 |
| United Healthcare HMO/PPO | HMO/PPO | $1,646 |
| Aetna HMO/PPO | HMO/PPO | $1,664 |
| Midlands Choice | HMO/PPO | $1,664 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.