Upper GI endoscopy with biopsy at Southern New Hampshire Medical Center. CPT 43239.
What Southern New Hampshire Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,300cash price (self-pay)
$3,513list price
$991–$6,819range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Managed Care Plan | $991 |
| Bcbs | Anthem Pathway Individual Other Commerical | $1,010 |
| Wellsense | Medicare Managed Care Plan | $1,030 |
| Cigna | Medicare Managed Care Plan | $1,040 |
| Ambetter | Exchange | $1,288 |
| Harvard Pilgrim | Elevate Health - Individual Exchange | $1,489 |
| Harvard Pilgrim | Hmo/Pos | $1,489 |
| Bcbs | Anthem Pathway Small Group Exchange | $1,578 |
| Harvard Pilgrim | Elevate Health Other Commercial Plan | $2,804 |
| Tufts | Hmo/Pos | $2,846 |
| Harvard Pilgrim | Ppo | $3,231 |
| Bcbs | Hpn Other Commercial Plan | $3,352 |
| Tufts | Ppo | $3,487 |
| Bcbs | Anthem Hmo/Pos | $3,684 |
| Aetna | All Commercial Plans | $6,067 |
| Bcbs | Anthem Ppo | $6,310 |
| Cigna | All Commercial Plans | $6,819 |
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All common services at Southern New Hampshire Medical Center