Upper GI endoscopy with biopsy at St. John's Riverside Hospital. CPT 43239.
What St. John's Riverside Hospital publishes for this service, straight from its standard-charges file, last updated March 27, 2026.
Outpatient / ER
$2,649cash price (self-pay)
$3,116list price
$1,070–$5,048range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Fidelis Health Benefit Exchange | Fidelis Health Benefit Exchange | $1,070 |
| Aetna | Medicare | $1,127 |
| Carelon Medicare | Carelon Medicare | $1,127 |
| Centers Plan For Healthy Living | Centers Plan For Healthy Living | $1,127 |
| Fidelis | Medicare | $1,127 |
| HealthFirst | Medicare | $1,127 |
| HIP Health Plan | Medicare Advantage | $1,127 |
| MagnaCare | Medicare Advantage | $1,127 |
| MetroPlus Medicare Advantage | MetroPlus Medicare Advantage | $1,127 |
| MVP | Medicare | $1,127 |
| MVP BHS | Medicare | $1,127 |
| Oscar | Medicare | $1,127 |
| Partners Health Plan | Dually Enrolled | $1,127 |
| United Behavioral Health of NY IPA | United Behavioral Health of NY IP | $1,127 |
| Village Caremax | Village Caremax | $1,127 |
| Wellcare | Wellcare | $1,127 |
| MetroPlus Gold | MetroPlus Gold | $1,183 |
| Oscar | Commercial | $1,183 |
| Empire Blue Cross Blue Shield PPO | Empire Blue Cross Blue Shield PPO | $1,465 |
| Empire HMO | Empire HMO | $1,465 |
| 1199 SEIU National Benefit Funds | 1199 SEIU National Benefit Funds | $1,648 |
| Emblem Health | Select Care Network | $3,174 |
| Cigna | Cigna | $3,370 |
| Emblem Health | GHI | $3,701 |
| Emblem Health | HIP | $3,770 |
| Aetna Health | Aetna Health | $3,783 |
| MVP Individual Exchange.Student Health Plan | MVP Individual Exchange. | $3,966 |
| MVP Commercial | MVP Commercial | $4,676 |
| United Healthcare | Oxford OX | $5,048 |
| United Healthcare | Oxford PA | $5,048 |
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