Upper GI endoscopy with biopsy at Port Jervis Community Hospital. CPT 43239.
What Port Jervis Community Hospital publishes for this service, straight from its standard-charges file, last updated June 29, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$1,127–$14,367range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Beacon Medicare | Beacon Medicare | $1,127 |
| Hamaspik (Mcr) | Hamaspik (Mcr) | $1,127 |
| MEDICARE MANAGED 100 Percent BSC | MEDICARE MANAGED 100 Percent BSC | $1,127 |
| Mvp Gold (Mcr) | Mvp Gold (Mcr) | $1,127 |
| World Trade Center Fdny | World Trade Center Fdny | $1,127 |
| World Trade Center Other | World Trade Center Other | $1,127 |
| Medicare | Medicare | $1,132 |
| Emblem Ghi/Hip Medicare | Emblem Ghi/Hip Medicare | $1,149 |
| Affinity By Molina Mcr | Affinity By Molina Mcr | $1,183 |
| Health First Medicare | Health First Medicare | $1,205 |
| Beacon Exchange | Beacon Exchange | $1,352 |
| Beacon Commercial | Beacon Commercial | $1,465 |
| Geisinger Health Commercial/Exchange | Geisinger Health Commercial/Exc | $3,718 |
| Blue Cross Connection/Exchange | Blue Cross Connection/Exchange | $3,966 |
| Magnacare Preferred | Magnacare Preferred | $4,135 |
| Oxford Commercial | Oxford Commercial | $4,143 |
| Oxford Exchange | Oxford Exchange | $4,188 |
| UHC Exchange | UHC Exchange | $4,188 |
| Blue Cross Small Group | Blue Cross Small Group | $4,759 |
| Blue Cross HMO | Blue Cross HMO | $4,886 |
| UHC Commercial | UHC Commercial | $4,927 |
| UHC Empire | UHC Empire | $4,927 |
| Self-Pay | Self-Pay | $5,500 |
| Cigna PPO | Cigna PPO | $5,738 |
| Tricare | Tricare | $6,217 |
| Aetna Hp Network | Aetna Hp Network | $6,250 |
| Mvp Exchange | Mvp Exchange | $6,508 |
| Aetna | Aetna | $6,944 |
| Aetna Employee | Aetna Employee | $6,944 |
| Mvp HMO/PPO | Mvp HMO/PPO | $14,367 |
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