Upper GI endoscopy with biopsy at Frederick Ferris Thompson Hospital. CPT 43239.
What Frederick Ferris Thompson Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$707cash price (self-pay)
$1,185list price
$83.35–$3,126range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup (Blue Cross Blue Shield Wny Alternate) 1720 | Amerigroup (B | $125 |
| Highmark Blue Cross Blue Shield Of Western NY Medicaid 1702, Highmark | $133 |
| Highmark Blue Cross Blue Shield Of Western NY Medicaid 1702, Amerigrou | $157 |
| United Healthcare Medicaid 1716,United Healthcare 5158 | United Health | $182 |
| Mvp Medicaid 1712, Mvp 2900 | Mvp Option Medicaid 171201, Mvp Essentia | $188 |
| Highmark Blue Cross Blue Shield Of Western NY Medicare 1301 | Highmark | $209 |
| United Healthcare Medicare 1309 | United Healthcare Medicare 130901,Se | $210 |
| Fidelis Medicaid 1708, Fidelis 5155 | Fidelis Medicaid 170801, Fidelis | $218 |
| Excellus Medicaid 1706, Excellus Blue Cross Blue Shield 2201 | Blue Ch | $223 |
| Fidelis Medicaid 1708, Fidelis 5155 | Fidelis Essential (No Medicaid) | $228 |
| Aetna Medicare 1300, Aetna 2700 | Aetna Medicare 130001, Aetna Senior | $229 |
| Medicare Blue Choice 1306 | Medicare Blue Choice 130601, Blue Medicare | $229 |
| Mvp 2900 | Mvp Premier Individual 290002, Mvp Premier Group 290003 | $230 |
| Mvp Medicare 1307, Mvp Medicare Dual Access Dsnp 1321 | Mvp Medicare 1 | $231 |
| Medicare Blue Choice 1306 | Univera Senior Choice Medicare 130603 | $233 |
| Capital District Physicians (Cdphp) Medicaid 1704 | Capital District P | $233 |
| Molina Medicaid 1723, Molina Healthcare 5189 | Molina Medicaid 172301, | $238 |
| Empire Plan 5179, Empire Plan UHC 5180 | Empire Plan 517901, Empire Pl | $243 |
| Umr 5142,United Healthcare 5158, Pomco Ins Co 5157 | Umr 514201,United | $279 |
| Fidelis 5155 | Fidelis Metal Tiers 515501 | $295 |
| Blue Cross Blue Shield Of Western NY 5143, Out Of Area Blue Cross Blue | $312 |
| Mvp 2900, Cigna 5144 | Mvp Commercial Non PPO Fully Insured 290001, Mv | $318 |
| Independent Health 5156 | Independent Health (Buffalo NY) 515601,Nova | $343 |
| Excellus Blue Cross Blue Shield 2201 | Excellus Metal Tiers 220102, Un | $404 |
| Cdphp Medicare 1320 | Cdphp Medicare 132001 | $408 |
| Lifetime Benefit Solutions 2200,Excellus Blue Cross Blue Shield 2201,O | $441 |
| Aetna 2700 | Aetna Chickering 270001,Aetna 270002,Aetna Ur 270003,Aetn | $485 |
| Capital District Physicians Health Plan (Cdphp) 5149 | Capital Distric | $631 |
| Medicare Blue Choice 1306 | Medicare Blue Choice 130601 | $917 |
| Humana Medicare 1312 | Humana Medicare 131201 | $1,132 |
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