Upper GI endoscopy with biopsy at Montefiore Medical Center. CPT 43239.
What Montefiore Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,328cash price (self-pay)
$2,030list price
$101–$13,816range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| New York Medicaid | Medicaid | $156 |
| Medicare | Part B - PA's & NP's | $247 |
| BCBS | Medicare | $282 |
| 1199 | 1199 | $290 |
| Affinity | Medicaid - Specialists | $290 |
| Medicare | Part B | $290 |
| Fidelis | Medicaid and HARP | $290 |
| Fidelis | Medicare | $342 |
| Oscar | Medicare | $425 |
| Aetna | Medicare | $425 |
| Humana | Medicare | $433 |
| MetroPlus | Default Duals | $644 |
| MetroPlus | Medicaid Advantage Plus | $644 |
| MetroPlus | Medicare | $644 |
| Cigna | Cigna Paraprofessionals | $708 |
| MetroPlus | Exchange Products | $837 |
| Cigna | Cigna Employed Physicians | $842 |
| Hip | HMO/POS | $1,273 |
| Anthem | WPH Employees | $1,316 |
| Hip | PPO/EPO | $1,331 |
| Aetna | Commercial | $1,701 |
| Anthem | Exchange | $1,704 |
| Anthem | Connection SG | $2,717 |
| Anthem | SG EPO/PPO | $2,887 |
| GHI | Commercial | $2,946 |
| Anthem | Blue Access | $3,056 |
| Anthem | Connection LG | $3,056 |
| Oscar | Commercial | $3,213 |
| Anthem | EPO PPO | $3,396 |
| Anthem | HMO | $3,489 |
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