Upper GI endoscopy with biopsy at Mountainview Hospital. CPT 43239.
What Mountainview Hospital publishes for this service, straight from its standard-charges file, last updated October 1, 2024.
Outpatient / ER
—cash price (self-pay)
—list price
$140–$3,700range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Community Care Health | MGMCD | $140 |
| Sierra HPN | MCD | $140 |
| Molina Healthcare | MCD | $146 |
| Legacy Provider Network | WORKERSCOMP | $1,068 |
| CorVel | WORKERSCOMP | $1,128 |
| Comp-Med Workers Comp | WORKERSCOMP | $1,151 |
| Olympus MedSave USA | WCOMP | $1,187 |
| Sierra | HMO | $1,583 |
| Sierra | PPO | $1,583 |
| Aetna | HMO | $1,761 |
| Aetna | PPO | $1,761 |
| Hometown Health Providers | HMO/PPO/POS | $1,920 |
| United | AllPayerAppendix | $2,052 |
| Hometown Health Providers | ThirdPartyAdministratior(TPA) | $2,228 |
| Cigna | OAP | $2,410 |
| Centene | HIX | $2,588 |
| Humana Choice Care | COMM | $2,704 |
| Anthem | HIX | $2,860 |
| Anthem | HMO | $2,860 |
| Anthem | Pathway | $2,860 |
| Select Health | HIX | $3,404 |
| MultiPlan | PRIMARY | $3,500 |
| Anthem | PPO | $3,575 |
| Select Health | COMM | $3,700 |
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