Upper GI endoscopy with biopsy at Adena Pike Medical Center. CPT 43239.
What Adena Pike Medical Center publishes for this service, straight from its standard-charges file, last updated August 19, 2026.
Outpatient / ER
$2,883cash price (self-pay)
$5,767list price
$1,384–$5,478range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | Medicare Advantage | $1,384 |
| Humana | Medicare Advantage | $1,384 |
| Medigold | Medicare Advantage | $1,384 |
| Medical Mutual of Ohio | Medicare Advantage | $1,384 |
| Buckeye Community Health Plan | Medicare Advantage | $1,384 |
| Aetna | Medicare Advantage | $1,384 |
| Care Source | Medicare Advantage | $1,412 |
| Anthem | Medicare Advantage | $1,788 |
| Molina Marketplace | Commercial | $1,853 |
| Care Source Just4Me | Commercial | $1,853 |
| Gateway Health | Commercial | $1,903 |
| United Healthcare | All Plans | $2,665 |
| Anthem Ohio Exchange | PPO | $3,800 |
| Anthem Ohio Exchange | HMO | $3,800 |
| Sidecar Health | Commercial | $3,806 |
| The Health Plan | Commercial | $4,037 |
| Ohio PPO Connect | Commercial | $4,037 |
| Medical Mutual of Ohio SuperMed | Commercial | $4,139 |
| Medical Mutual of Ohio | Managed Care | $4,139 |
| Great West Health Care/Cigna | Commercial | $4,175 |
| Anthem | Traditional | $4,273 |
| First Health | Commercial | $4,521 |
| Ohio Health Choice | Commercial | $4,590 |
| Aetna (Cofinity/Meritain) | Commercial | $4,694 |
| Anthem Pathway | HMO/PPO | $4,977 |
| Integrated Health Plan | Commercial | $5,421 |
| HealthSmart | Emerald Commercial Products | $5,478 |
| Multiplan/Private Healthcare Systems | Commercial | $5,478 |
| Three Rivers Network | Commercial | $5,478 |
Inpatient
$2,883cash price (self-pay)
$5,767list price
$3,656–$5,478range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Ohio Exchange | HMO | $3,656 |
| Anthem Ohio Exchange | PPO | $3,656 |
| Ohio PPO Connect | Commercial | $4,037 |
| The Health Plan | Commercial | $4,037 |
| Medical Mutual of Ohio | Managed Care | $4,139 |
| Medical Mutual of Ohio SuperMed | Commercial | $4,139 |
| Great West Health Care/Cigna | Commercial | $4,175 |
| Anthem | Traditional | $4,273 |
| First Health | Commercial | $4,521 |
| Ohio Health Choice | Commercial | $4,590 |
| Aetna (Cofinity/Meritain) | Commercial | $4,694 |
| Anthem Pathway | HMO/PPO | $4,844 |
| Integrated Health Plan | Commercial | $5,421 |
| Three Rivers Network | Commercial | $5,478 |
| Multiplan/Private Healthcare Systems | Commercial | $5,478 |
| HealthSmart | Emerald Commercial Products | $5,478 |
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