Upper GI endoscopy with biopsy at North Vista Hospital. CPT 43239.
What North Vista Hospital publishes for this service, straight from its standard-charges file, last updated March 17, 2026.
Outpatient / ER
$986cash price (self-pay)
$4,886list price
$326–$4,886range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sierra (HPN) Medicaid | HPN Medicaid | $326 |
| Anthem BCBS | Anthem Medicaid | $329 |
| Molina Healthcare | Molina Medicaid | $329 |
| Silver Summit | Silver Summit Medicaid | $329 |
| Traditional Medicaid | Traditional Medicaid | $329 |
| Sierra Health | Sierra Health HMO/SHL | $455 |
| Sierra Health | Sierra Health PPO | $455 |
| Triwest | Triwest | $977 |
| Aetna | Aetna Medicare | $987 |
| Anthem BCBS | Anthem Medicare | $987 |
| Health Net Federal Services Tricare | Health Net Federal Services Tric | $987 |
| Intermountain Healthcare (HCP) | Healthcare Partner SR Medicare | $987 |
| Molina Healthcare | Molina Medicare | $987 |
| Renal Payor Solutions | Renal Payer Solutions Medicare | $987 |
| Silver Summit | Silver Summit Medicare | $987 |
| Traditional Medicare | Traditional Medicare | $987 |
| Tricare | Tricare | $987 |
| Alignment | Alignment Medicare | $1,006 |
| Aetna | Aetna Commercial | $1,210 |
| Employer Direct Healthcare | Employer Direct Healthcare Commercial | $1,381 |
| Imperial Insurance Companies | Imperial Insurance Company Exchange | $1,480 |
| Imperial Insurance Companies | Imperial Insurance Company Medicare | $1,480 |
| Three Rivers | Three Rivers Workers Compensation | $1,508 |
| Anthem BCBS Workers Compensation | Anthem BCBS Workers Compensation | $1,514 |
| Naphcare | Naphcare | $1,529 |
| Provider Select | Provider Select Workers Compensation | $1,539 |
| Worker Comp | Worker Compensation | $1,555 |
| Silver Summit | Silver Summit Commercial Insurance Exchange | $1,578 |
| Anthem BCBS | Anthem Exchange | $1,762 |
| Intermountain Healthcare (HCP) | Healthcare Partner Commercial | $1,776 |
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