Upper GI endoscopy with biopsy at Ashtabula Regional Medical Center. CPT 43239.
What Ashtabula Regional Medical Center publishes for this service, straight from its standard-charges file, last updated September 8, 2026.
Outpatient / ER
$265cash price (self-pay)
$378list price
$121–$2,398range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Blue Cross Blue Shield | Medicare Advantage | $121 |
| CareSource | Medicare Advantage | $121 |
| Medical Mutual | Medicare Advantage | $121 |
| Buckeye PACE | Medicare Advantage | $121 |
| SummaCare | Medicare Advantage | $127 |
| Valor | Medicare Advantage | $127 |
| Molina | Medicare Advantage | $130 |
| Ohio Health Choice | Commercial | $145 |
| Anthem Blue Cross Blue Shield | HIX | $151 |
| Oscar Cleveland | Commercial | $163 |
| Anthem Blue Cross Blue Shield | HMO/PPO/Traditional | $168 |
| Medical Mutual | Commercial | $188 |
| United Healthcare | Medicare Advantage | $189 |
| United Healthcare | Commercial | $189 |
| Aetna | Commercial | $193 |
| Aetna | Medicare Advantage | $193 |
| Cigna | Commercial | $201 |
| SummaCare | Commercial | $265 |
| Molina Marketplace | Commercial | $1,230 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.