Upper GI endoscopy with biopsy at Samaritan Medical Center. CPT 43239.
What Samaritan Medical Center publishes for this service, straight from its standard-charges file, last updated February 2, 2026.
Outpatient / ER
$930cash price (self-pay)
$930list price
$113–$5,197range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Empire | Commercial | $113 |
| Fidelis | Medicaid Managed Care/Child Health Plus and Family Health Pl | $119 |
| Fidelis | Essential Plan Program/Aliessa and Essential Plan Program-QH | $131 |
| Fidelis | Medicare Advantage/Managed Long Term Care | $626 |
| Wellcare | Medicare Advantage | $626 |
| Fidelis | Health Benefit Exchange | $716 |
| Capital District Physician's Health Plan, Inc (CDPHP) | Medicare Advan | $1,132 |
| Excellus | Medicare Advantage | $1,132 |
| Aetna | Medicare Advantage | $1,155 |
| United Healthcare | Commercial | $1,166 |
| United Healthcare | Medicare Advantage | $1,166 |
| MVP | Medicare Advantage | $1,189 |
| Capital District Physician's Health Plan, Inc (CDPHP) | Commercial | $1,229 |
| Excellus | Commercial | $2,691 |
| Aetna | Commercial | $3,978 |
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