Upper GI endoscopy with biopsy at Montefiore Mount Vernon Hospital. CPT 43239.
What Montefiore Mount Vernon Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$140–$13,302range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| MetroPlus | Default Duals | $642 |
| MetroPlus | Medicaid Advantage Plus | $642 |
| MetroPlus | Medicare Advantage | $642 |
| Fidelis | Medicare | $1,132 |
| HealthFirst | IB Dual Connection HMO D-SNP | $1,132 |
| HealthFirst | Medicare PPO | $1,132 |
| Point Comfort | Indemnity | $1,132 |
| UHC | Medicare | $1,132 |
| VillageCareMAX | Medicare | $1,132 |
| VNSNY Choice | Medicare | $1,132 |
| Anthem Healthplus | Medicare | $1,132 |
| Wellcare | Medicare | $1,155 |
| Elderplan | Medicare | $1,166 |
| Centerlight | PACE | $1,166 |
| Partners Health Plan | FIDA IDD | $1,189 |
| Longevity | Medicare Advantage SNP Plan | $1,234 |
| Humana | Humana | $1,245 |
| Centerlight | Medicare | $1,245 |
| Emblem | Select Care | $1,359 |
| MetroPlus | Exchange Products | $1,472 |
| Molina Healthcare of NY Affinity | Essential Plan 1 & 2 | $1,562 |
| Molina Healthcare of NY Affinity | Essential Plan 200-250 | $1,562 |
| MVP | Commercial | $1,647 |
| Anthem | Exchange | $2,712 |
| Northwell | Northwell | $3,046 |
| Oscar | Commercial | $3,727 |
| Aetna | ASA | $4,346 |
| Anthem | HMO | $4,915 |
| Anthem | Connection SG | $5,003 |
| Anthem | Connection LG | $5,003 |
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