Upper GI endoscopy with biopsy at Maimonides Medical Center. CPT 43239.
What Maimonides Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$390cash price (self-pay)
$3,585list price
$12.93–$6,360range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Emblem Health - HIP | Medicare Advantage HMO | $31.08 |
| Aetna | Medicare Advantage PPO | $46.45 |
| Fidelis | Exchange Plan | $59.70 |
| Healthfirst | Medicare Advantage HMO | $60.60 |
| Healthfirst | Medicaid HMO | $62.15 |
| Magnacare | Commercial PPO | $64.29 |
| United Healthcare | Medicare Advantage HMO | $67.30 |
| United Healthcare | Medicare Advantage PPO | $69.29 |
| Anthem Health Plus | Medicare Advantage HMO | $76.45 |
| United Community Plan | Medicaid HMO | $76.66 |
| United Healthcare | Essential Plan 1-2 | $76.66 |
| Fidelis | Medicaid HMO | $78.31 |
| Anthem | Medicare Advantage PPO | $78.47 |
| Fidelis | Essential Plan 3-4 | $81.93 |
| Elderplan | Medicare Advantage HMO | $86.00 |
| Anthem Health Plus | Essential Plan 1-2 | $91.53 |
| Visiting Nurse SVC of NY | Medicare Advantage HMO | $93.95 |
| Anthem Health Plus | Child Health Plus | $99.49 |
| Emblem Health - HIP | Essential Plan 1-2 | $101 |
| Emblem Health - HIP | Essential Plan 3-4 | $101 |
| Emblem Health - HIP | Medicaid HMO | $101 |
| Metroplus | Essential Plan 1-2 | $106 |
| Metroplus | Medicaid HMO | $108 |
| Anthem | Commercial PPO | $110 |
| Anthem Health Plus | Medicaid HMO | $117 |
| Anthem Health Plus | Medicare Advantage PPO | $121 |
| Elderplan | Medicaid HMO | $128 |
| United Healthcare | Commercial PPO | $135 |
| Emblem Health - GHI | Commercial PPO | $142 |
| Aetna | Commercial PPO | $146 |
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