Upper GI endoscopy with biopsy at Health Alliance Mary Avenue Hospital. CPT 43239.
What Health Alliance Mary Avenue Hospital publishes for this service, straight from its standard-charges file, last updated June 24, 2026.
Outpatient / ER
$2,640cash price (self-pay)
$2,640list price
$789–$35,000range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Beacon Commercial | Beacon Commercial | $1,465 |
| Blue Cross Connection/Exchange | Blue Cross Connection/Exchange | $1,505 |
| Emblem Select Care (Exchange) | Emblem Select Care (Exchange) | $1,795 |
| Magnacare Standard | Magnacare Standard | $1,848 |
| Emblem Ghi/Hip HMO/EPO/POS | Emblem Ghi/Hip HMO/EPO/POS | $2,112 |
| Veterans (Mcr) | Veterans (Mcr) | $2,369 |
| Blue Shield - Health Now | Blue Shield - Health Now | $2,508 |
| Aetna Hp Network | Aetna Hp Network | $2,603 |
| Medigap | Medigap | $2,640 |
| Aetna | Aetna | $2,892 |
| Aetna Employee | Aetna Employee | $2,892 |
| Blue Cross Access | Blue Cross Access | $2,960 |
| Blue Cross Small Group | Blue Cross Small Group | $2,985 |
| Mvp Exchange | Mvp Exchange | $3,114 |
| Beacon Medicare | Beacon Medicare | $3,384 |
| Blue Cross Medicare | Blue Cross Medicare | $3,384 |
| Cdphp Medicare | Cdphp Medicare | $3,384 |
| Hamaspik (Mcr) | Hamaspik (Mcr) | $3,384 |
| Medicare Managed 100% Hahv | Medicare Managed 100 Hahv | $3,384 |
| Mvp Gold (Mcr) | Mvp Gold (Mcr) | $3,384 |
| Todays Options Medicare | Todays Options Medicare | $3,384 |
| Aetna Medicare | Aetna Medicare | $3,387 |
| Medicare | Medicare | $3,387 |
| Emblem Ghi/Hip Medicare | Emblem Ghi/Hip Medicare | $3,451 |
| Affinity By Molina Mcr | Affinity By Molina Mcr | $3,553 |
| Blue Cross Commercial/Healthy NY | Blue Cross Commercial/Healthy NY | $3,700 |
| Todays Options | Todays Options | $3,722 |
| Self-Pay | Self-Pay | $3,848 |
| Cdphp | Cdphp | $3,909 |
| UHC Exchange | UHC Exchange | $3,946 |
Inpatient
$2,640cash price (self-pay)
$2,640list price
$1,848–$2,640range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Magnacare Standard | Magnacare Standard | $1,848 |
| Multiplan | Multiplan | $2,165 |
| Blue Shield - Health Now | Blue Shield - Health Now | $2,508 |
| Medigap | Medigap | $2,640 |
| NON CONTRACTED (100% POC) | NON CONTRACTED (100 PerCent POC) | $2,640 |
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