Upper GI endoscopy with biopsy at Avita Ontario Hospital. CPT 43239.
What Avita Ontario Hospital publishes for this service, straight from its standard-charges file, last updated March 23, 2026.
Outpatient / ER
$3,516cash price (self-pay)
$4,136list price
$1,317–$5,629range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Caresource | Medicaid_Outpatient | $1,317 |
| Traditional_Medicaid | Outpatient | $1,317 |
| Molina | Medicaid_Outpatient | $1,317 |
| OhioRise | Medicaid_Outpatient | $1,317 |
| United_HealthCare | Medicaid_Outpatient | $1,317 |
| Molina | Medicare_Outpatient | $1,324 |
| United_HealthCare | Medicare_Outpatient | $1,324 |
| Anthem | Medicaid_Outpatient | $1,356 |
| AmeriHealth | Medicaid_Outpatient | $1,383 |
| Buckeye | Medicaid_Outpatient | $1,424 |
| Humana_Horizons | Medicaid_Outpatient | $1,424 |
| Molina | Marketplace_Outpatient | $2,118 |
| Anthem | Traditional_Blue_Access_Blue_Preferred | $2,502 |
| Anthem | Blue_Access_I-II_Enhanced_Choice_Pathway_X | $2,523 |
| Anthem | Blue_Access_Blue_Preferred | $2,606 |
| Anthem | Pathway_Group_HMO_Pathway_X | $2,742 |
| Aetna | Medicare_Outpatient | $2,761 |
| Anthem | Medicare_Outpatient | $2,761 |
| Buckeye | Medicare_Outpatient | $2,761 |
| Humana | Medicare_Outpatient | $2,761 |
| Traditional_Medicare | Outpatient | $2,761 |
| Mount_Carmel | Medicare_Outpatient | $2,761 |
| Medical_Mutual | Medicare_Outpatient | $2,816 |
| Cigna | Commercial | $3,222 |
| Medical_Mutual | Commercial | $3,309 |
| Aetna | All_Commercial | $3,516 |
| United_HealthCare | Commercial | $3,516 |
| Anthem | Medicare_Inpatient | $3,518 |
| Buckeye | Medicare_Inpatient | $3,518 |
| Humana | Medicare_Inpatient | $3,518 |
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