Upper GI endoscopy with biopsy at Good Samaritan Hospital. CPT 43239.
What Good Samaritan Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,110cash price (self-pay)
$2,813list price
$372–$4,076range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | All Commercial Plans | $379 |
| Aetna | Medicare Managed Care Plan | $884 |
| Medical Mutual of Ohio | Medicare Managed Care Plan | $902 |
| Buckeye | Advantage Medicare Managed Care Plan | $910 |
| BCBS | Anthem KY Pathway Transition HMO Exchange | $1,105 |
| Oscar | All Commercial Plans | $1,171 |
| Buckeye | Ambetter Exchange | $1,282 |
| BCBS | Anthem OH I and OH II PPO | $2,006 |
| Imagine Health | All Commercial Plans | $2,120 |
| Custom Design Benefits | Exclusive Other Commercial Plan | $2,174 |
| Custom Design Benefits | TruCost Other Commercial Plan | $2,272 |
| BCBS | Anthem Blue Connection HMO | $2,372 |
| MedBen | Tier 1 Other Commercial Plan | $2,422 |
| MedBen | Tier 2 Other Commercial Plan | $2,546 |
| BCBS | Anthem Blue Access PPO | $2,718 |
| UnitedHealthCare | All Commercial Plans | $4,076 |
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