Upper GI endoscopy with biopsy at SBH Health System. CPT 43239.
What SBH Health System publishes for this service, straight from its standard-charges file, last updated February 27, 2026.
Outpatient / ER
$158cash price (self-pay)
$2,889list price
$109–$3,093range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| MetroPlus Health | CHP/HARP/HIV SNP/Medicaid | $109 |
| MetroPlus Health | Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliess | $109 |
| SOMOS | CHP/HARP/Medicaid | $117 |
| SOMOS | Essential | $117 |
| MetroPlus Health | Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (No | $132 |
| Healthfirst | CHP/FHP/Medicaid | $136 |
| Healthfirst | Commercial | $155 |
| MetroPlus Health | Commercial/Exchange/Gold Care/Medicare Advantage | $155 |
| Hamaspik Choice Inc | Medicare | $329 |
| Healthfirst | Essential Plan | $350 |
| Fidelis | Essential Plan Aliesa | $557 |
| Healthfirst | Medicare Advantage | $561 |
| Fidelis | Essential Plan QHP | $584 |
| Fidelis | Qualified Health Plan | $584 |
| Fidelis | CHP/HARP/Medicaid | $585 |
| Centers Plan For Healthy Living | Dual Advantage/Medicare Advantage/Me | $650 |
| Fidelis | Medicare Advantage | $650 |
| Hamaspik Choice Inc | Medicaid | $650 |
| Healthfirst | QHP | $650 |
| Senior Whole Health | Medicare Advantage | $650 |
| VNS Choice | FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Spec | $650 |
| Affinity | Essential Plan 1&2 | $802 |
| Affinity | Essential Plan 3&4 | $802 |
| Affinity | Medicaid/CHP/HARP | $802 |
| Brighton Health | Commercial | $955 |
| Wellcare | CHP/FHP/Medicaid | $1,088 |
| Wellcare | Medicare | $1,088 |
| Aetna | Gatekeeper/Non-Gatekeeper | $1,146 |
| Aetna | Government | $1,146 |
| EmblemHealth | Commercial | $1,146 |
Inpatient
—cash price (self-pay)
$2,889list price
$1,445–$1,445range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Hamaspik Choice Inc | Medicaid | $1,445 |
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