Upper GI endoscopy with biopsy at Jacobi Medical Center. CPT 43239.
What Jacobi Medical Center publishes for this service, straight from its standard-charges file, last updated September 5, 2026.
Outpatient / ER
$1,109cash price (self-pay)
$3,262list price
$155–$5,014range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | MEDICARE ADVANTAGE | $155 |
| Anthem HealthPlus | EXCHANGE | $995 |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | $995 |
| Carelon | Managed Medicaid_HARP_CHP | $995 |
| Fidelis | HARP_Managed Medicaid | $995 |
| Carelon | GHI BMP | $995 |
| Carelon | Commercial_Essential Plans | $995 |
| Affinity | HARP_Managed Medicaid | $1,015 |
| Carelon (Amida Care) | Managed Medicaid | $1,015 |
| Affinity | CHP | $1,045 |
| Anthem HealthPlus | CHP | $1,095 |
| Anthem | Medicare Advantage | $1,109 |
| Senior Whole Health | MLTC | $1,121 |
| Centerlight | PACE | $1,132 |
| Elderplan | MAP_Medicare Advantage_MLTC | $1,132 |
| EMBLEM | Essential Plan 3-4 | $1,244 |
| EMBLEM | HARP_Managed Medicaid | $1,244 |
| EMBLEM | Essential Plan 1-2 | $1,344 |
| Emblem | Essential Plan 200-250 | $1,344 |
| Emblem | Medicare Advantage | $1,387 |
| Fidelis | EXCHANGE | $1,575 |
| ANTHEM | Blue Access Small Group | $1,629 |
| ANTHEM | Small Group EPO_PPO | $1,629 |
| ANTHEM | Blue Access Large Group | $1,674 |
| Anthem | HMO | $1,835 |
| Anthem | Indemnity | $1,835 |
| Anthem | PPO | $1,835 |
| Anthem | EPO | $1,835 |
| Carelon | MAP_Medicare Advantage | $2,120 |
| Affinity | Essential Plan 1-2 | $2,240 |
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