Upper GI endoscopy with biopsy at cleveland clinic main campus. CPT 43239.
What cleveland clinic main campus publishes for this service, straight from its standard-charges file, last updated June 16, 2026.
Outpatient / ER
$684cash price (self-pay)
$4,313list price
$0.01–$6,112range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $121 |
| PPHP | All Products | $136 |
| AETNA | Medicare Advantage Transplant | $161 |
| AETNA | All Products Transplant | $173 |
| CARESOURCE | Managed Medicaid | $821 |
| Paramount | Managed Medicaid | $846 |
| Aetna | Medicare Advantage | $858 |
| Anthem | Medicare Advantage | $858 |
| CIGNA | Medicare Advantage Lifesource | $858 |
| Devoted Health | Medicare Advantage | $858 |
| Buckeye | Managed Medicaid | $862 |
| ANTHEM | Managed Medicaid | $862 |
| Cigna | Medicare Advantage | $884 |
| CommuniCare | MEDICARE ADVANTAGE | $901 |
| Zing Health | Medicare Advantage | $944 |
| Cc Ehp | All Products | $1,199 |
| Anthem | All Products Physician Non-Facility | $1,241 |
| Summacare | Preferred | $1,811 |
| Aultcare | PPO/HMO | $1,889 |
| Amish Community Aid Plan | ALL PRODUCTS | $1,941 |
| Anthem | Hpn | $1,986 |
| Anthem | PPO/HMO | $2,337 |
| Healthsmart | All Products | $2,372 |
| AETNA | Acop | $2,700 |
| Mmo | Nasco | $2,713 |
| Clarity Health | ALL PRODUCTS | $2,803 |
| Gms | All Products | $3,019 |
| AETNA | Asa_Whirlpool_Peia | $3,058 |
| Cigna | PPO | $3,200 |
| Aetna | All Products | $3,235 |
Inpatient
$2,803cash price (self-pay)
$4,313list price
$1,199–$4,313range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oscar | All Products | $1,557 |
| Summacare | Preferred | $1,962 |
| Summacare | PREMIER | $2,135 |
| Amish Community Aid Plan | ALL PRODUCTS | $2,157 |
| Healthsmart | All Products | $2,588 |
| Anthem | Traditional | $3,567 |
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