Upper GI endoscopy with biopsy at Westfield Memorial Hospital. CPT 43239.
What Westfield Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 14, 2026.
Outpatient / ER
$84.26cash price (self-pay)
$383list price
$112–$2,130range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Univera | Univera Essential Plan | $112 |
| Univera | Univera Healthy New York | $112 |
| Univera | Univera Medicare | $140 |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $156 |
| Univera | Univera Commercial | $164 |
| Highmark | Highmark Blue High Performance | $175 |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $215 |
| Amerihealth | Amerihealth Caritas HC Medicaid | $215 |
| Geisinger | Geisinger CHIP | $238 |
| Geisinger | Geisinger Medicaid HC | $238 |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Me | $322 |
| Jefferson Health Plans | Jefferson Health Plans | $329 |
| United Healthcare | United Healthcare Medicaid | $333 |
| Amerihealth | Amerihealth Medicaid CHC | $354 |
| Amerihealth | Amerihealth Medicaid HC | $354 |
| Highmark | Highmark Together Blue | $366 |
| Highmark | Highmark My Direct Blue | $572 |
| Life Pittsburgh | Life Pittsburgh Medicare | $619 |
| American Health Plans | American Health Plans Medicare | $625 |
| Devoted Medicare | Devoted Health Medicare Advantage | $639 |
| Highmark | Highmark Security Blue | $643 |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $660 |
| Highmark | Highmark Social Mission Indemnity | $678 |
| Highmark | Highmark Social Mission Managed Care | $678 |
| United Healthcare | United Healthcare Commercial | $705 |
| Highmark | Highmark My Blue Access | $766 |
| Highmark | Highmark Performance Blue | $896 |
| Highmark | Highmark Connect Blue | $959 |
| Highmark | Highmark Community Blue | $1,008 |
| Highmark | Highmark Indemnity | $1,008 |
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