Upper GI endoscopy with biopsy at Alice Hyde Medical Center. CPT 43239.
What Alice Hyde Medical Center publishes for this service, straight from its standard-charges file, last updated April 28, 2026.
Outpatient / ER
$2,478cash price (self-pay)
$2,478list price
$109–$9,020range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Fidelis Care | Child Health Plus | $109 |
| MVP | Essential Plans | $109 |
| MVP | Managed Medicaid | $109 |
| Fidelis Care | Managed Medicaid | $128 |
| Fidelis Care | Essential Plans | $134 |
| Fidelis Care | Health Benefit Exchange Products | $141 |
| Capital District Physicians' Health Plan | Essential Plans | $232 |
| Capital District Physicians' Health Plan | Managed Medicaid | $232 |
| United Healthcare | Managed Medicaid/Essential Plans | $239 |
| United Healthcare Empire Plan | Commercial PPO for NY State Employees | $248 |
| Excellus BlueCross BlueShield | Managed Medicaid/Essential Plans | $496 |
| Humana Military | TRICARE | $650 |
| Aetna | Medicare Advantage | $660 |
| MVP | Medicare Advantage | $660 |
| Veterans Affairs Community Care Network | Veterans Administration | $660 |
| Excellus BlueCross BlueShield | Medicare Advantage | $663 |
| Fidelis Care | Medicare Advantage | $669 |
| Capital District Physicians' Health Plan | Medicare Advantage | $766 |
| Martins Point | TRICARE Prime/Department of Defense | $766 |
| United Healthcare | Medicare Advantage | $766 |
| ChoiceCare | Medicare Advantage | $780 |
| St. Regis | HMO | $1,128 |
| MVP | Individual Group Commercial | $1,417 |
| ChoiceCare | Commercial | $1,635 |
| Aetna | Commercial | $1,700 |
| MVP | Small/Large Group Commercial | $1,743 |
| Capital District Physicians' Health Plan | Commercial | $2,026 |
| MagnaCare | Commercial | $2,480 |
| Highmark BlueShield | IND/FEP/PPO/HMO | $2,882 |
| Excellus BlueCross BlueShield | Commercial | $3,034 |
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