Upper GI endoscopy with biopsy at St. Mary's General Hospital. CPT 43239.
What St. Mary's General Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$1,072cash price (self-pay)
$9,599list price
$727–$12,312range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | Humana Military Tricare | $858 |
| Aetna | Aetna Medicare | $1,072 |
| Americhoice (UHC) | UHC Medicare | $1,072 |
| Amerihealth | Amerihealth Medicare | $1,072 |
| Clover Health | Clover Medicare | $1,072 |
| Horizon | Horizon Medicare | $1,072 |
| Traditional Medicare | Traditional Medicare | $1,072 |
| Tricare | Tricare | $1,072 |
| Wellcare | Wellcare Medicare | $1,072 |
| Wellpoint Amerigroup | Wellpoint Amerigroup Medicare | $1,072 |
| Ally-Align (Fka Spartan Plan Nj, Inc.) | Ally-Align (Fka Spartan Plan | $1,126 |
| Wellcare | Wellcare Insurance Exchange | $1,448 |
| Employer Direct Healthcare | Employer Direct Healthcare | $1,501 |
| Cigna | Cigna Commercial | $1,576 |
| Wellchoice | WELLCHOICE HMO of NJ (Empire) Commercial (HMO / HMO POS, | $1,715 |
| Fairprice Healthcare Holdings | Fairprice Healthcare Holdings | $1,716 |
| Horizon | Horizon BCBS Of NJ HMO POS | $1,901 |
| Horizon | Horizon BCBS Of NJ Indemnity | $1,901 |
| Horizon | Horizon BCBS Of NJ PPO | $1,901 |
| Wellchoice | WELLCHOICE HMO of NJ (Empire) Commercial (Indemnity) | $1,978 |
| Coventry | Coventry Auto | $2,144 |
| Coventry | Coventry Workers Compensation | $2,144 |
| Aetna | Aetna Commercial | $2,273 |
| Aetna | Aetna Medical Rental Network | $2,273 |
| UHC | UHC Oxford (02-01-2023 to 12-31-2026) | $3,676 |
| UHC - Adhoc | UHC - Adhoc Oxford | $3,788 |
| UHC | UHC All Payer (02-01-2023 to 12-31-2026) | $3,860 |
| UHC - Adhoc | UHC - Adhoc All Payer | $3,980 |
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