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Upper GI endoscopy with biopsy at lodi hospital. CPT 43239.

What lodi hospital publishes for this service, straight from its standard-charges file, last updated June 15, 2026.

Outpatient / ER

—cash price (self-pay)
—list price
$927–$1,203range insurers pay
Insurance planNegotiated rate
Anthem | Medicare Advantage$927
OPTUM | All Products VA$938
OPTUM | Medicare Advantage Transplant$938
OPTUM | Managed Medicaid Transplant$1,039
Buckeye | Managed Medicaid$1,094
CARESOURCE | Managed Medicaid$1,094
ANTHEM | Managed Medicaid$1,149
MOLINA | Managed Medicaid$1,149
UNITED | Managed Medicaid$1,149
AMERIHEALTH | Managed Medicaid$1,203
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All common services at lodi hospital