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Upper GI endoscopy with biopsy at Saint Clares Dover Hospital. CPT 43239.

What Saint Clares Dover Hospital publishes for this service, straight from its standard-charges file, last updated September 10, 2026.

Outpatient / ER

$1,051cash price (self-pay)
$15,162list price
$841–$20,776range insurers pay
Insurance planNegotiated rate
Humana | HUMANA MILITARY TRICARE$841
Aetna | Aetna Medicare$1,052
Amerihealth | Amerihealth HMO Medicare$1,052
Clover Health | Clover Medicare$1,052
Horizon | Horizon Medicare$1,052
Traditional Medicare | Traditional Medicare$1,052
Tricare | Tricare$1,052
UHC | UHC Medicare$1,052
Wellcare | Wellcare Medicare$1,052
Wellpoint Amerigroup | Wellpoint Amerigroup Medicare$1,052
ALLY-ALIGN (fka Spartan Health Plan) | ALLY-ALIGN (fka Spartan Health $1,104
Wellcare | Wellcare Insurance Exchange (01-01-2022 to 12-31-2026)$1,420
Employer Direct Healthcare | Employer Direct Healthcare$1,473
Cigna | Cigna Commercial$1,625
Fairprice Healthcare Holdings - Fphh | Fairprice Healthcare Holdings -$1,683
BRIGHTON HEALTH PLAN SOLUTIONS (FKA MagnaCare) | BRIGHTON HEALTH PLAN $1,989
Coventry | Coventry Auto$2,104
Coventry | Coventry workers comp$2,104
UHC | UHC Commercial Oxford$2,150
Horizon | Horizon BCBS of NJ HMO POS$2,187
Horizon | Horizon BCBS of NJ Indemnity$2,187
Horizon | Horizon BCBS of NJ PPO$2,187
UHC - Adhoc | UHC - Adhoc Oxford$2,217
Aetna | Aetna Commercial$2,230
Aetna | Aetna Medical Rental Network$2,230
UHC | UHC Commercial All Payers$4,553
UHC - Adhoc | UHC - Adhoc All Payer$5,642
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All common services at Saint Clares Dover Hospital