Upper GI endoscopy with biopsy at Ira Davenport Memorial Hospital. CPT 43239.
What Ira Davenport Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 27, 2026.
Outpatient / ER
$749cash price (self-pay)
$4,093list price
$95.26–$4,443range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Empire | All Products Non MD | $95.26 |
| Empire | All Products MD | $113 |
| Excellus BCBS | Medicare Advantage | $973 |
| FIDELIS | Health Benefit Exchange | $973 |
| Excellus BCBS | All Products | $1,714 |
| Aetna | All Products | $3,479 |
| EMBLEM/GHI | All Products | $3,602 |
| UHC | All Products | $4,093 |
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