Upper GI endoscopy with biopsy at Mary Imogene Bassett Hospital. CPT 43239.
What Mary Imogene Bassett Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$201cash price (self-pay)
$1,839list price
$101–$2,674range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cdphp | Child Health Plus | $121 |
| Cdphp | Managed Medicaid | $121 |
| BCBS | Anthem Medicare Advantage | $128 |
| BCBS | Excellus Blue Medicare Advantage | $128 |
| BCBS | Highmark Medicare Advantage | $128 |
| BCBS | Excellus Blue Medicare Advantage PPO | $128 |
| BCBS | Excellus Medicare Advantage HMO/POS | $128 |
| BCBS | Excellus Medicare Advantage PPO | $128 |
| Cdphp | Medicare Advantage HMO | $128 |
| Aetna | Medicare Advantage HMO | $132 |
| Aetna | Medicare Advantage PPO/EPO | $132 |
| Fidelis | Medicare Advantage | $134 |
| Humana | Medicare Advantage | $135 |
| Mvp | Medicare Advantage | $138 |
| Cdphp | Essentials | $146 |
| BCBS | Excellus HMO Blue Option Managed Medicaid | $337 |
| BCBS | Excellus Child Health Plus Managed Medicaid | $337 |
| BCBS | Excellus Essential Managed Medicaid | $337 |
| BCBS | Excellus Healthy NY EPO Managed Medicaid | $337 |
| BCBS | Excellus Healthy NY Managed Medicaid | $337 |
| BCBS | Excellus Safety Net | $337 |
| BCBS | Excellus Sr Federal | $341 |
| BCBS | Empire Exchange | $496 |
| Aetna | Allied Benefit | $522 |
| Aetna | Signature | $522 |
| BCBS | Empire | $527 |
| BCBS | Highmark | $546 |
| BCBS | Highmark HMO | $546 |
| BCBS | Anthem | $551 |
| BCBS | Empire Healthchoice | $551 |
Inpatient
$201cash price (self-pay)
$602list price
$101–$852range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cdphp | Child Health Plus | $121 |
| Cdphp | Managed Medicaid | $121 |
| BCBS | Anthem Medicare Advantage | $128 |
| BCBS | Excellus Blue Medicare Advantage | $128 |
| BCBS | Excellus Blue Medicare Advantage PPO | $128 |
| BCBS | Excellus Medicare Advantage HMO/POS | $128 |
| BCBS | Excellus Medicare Advantage PPO | $128 |
| BCBS | Highmark Medicare Advantage | $128 |
| Cdphp | Medicare Advantage HMO | $128 |
| Cdphp | Medicare Advantage PPO | $128 |
| Aetna | Medicare Advantage HMO | $132 |
| Aetna | Medicare Advantage PPO/EPO | $132 |
| Cdphp | Essentials | $146 |
| BCBS | Excellus Child Health Plus Managed Medicaid | $337 |
| BCBS | Excellus Essential Managed Medicaid | $337 |
| BCBS | Excellus Healthy NY EPO Managed Medicaid | $337 |
| BCBS | Excellus Healthy NY Managed Medicaid | $337 |
| BCBS | Excellus HMO Blue Option Managed Medicaid | $337 |
| BCBS | Excellus Safety Net | $337 |
| BCBS | Excellus Sr Federal | $341 |
| BCBS | Empire Exchange | $496 |
| Aetna | Allied Benefit | $522 |
| Aetna | Signature | $522 |
| BCBS | Empire | $527 |
| BCBS | Highmark | $546 |
| BCBS | Highmark HMO | $546 |
| BCBS | Anthem | $551 |
| BCBS | Empire Healthchoice | $551 |
| BCBS | Empire Healthchoice HMO/PPO/POS | $551 |
| Cigna | Assurant | $682 |
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