Upper GI endoscopy with biopsy at Mount Carmel Dublin Hospital. CPT 43239.
What Mount Carmel Dublin Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$301cash price (self-pay)
$301list price
$39.41–$6,061range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicare Advantage | Aetna Medicare Advantage | $59.03 |
| Commonwealth Care Alliance | Pb Xr 100% Default | $301 |
| Molina Medicare Advantage | Pb Xr 100% Default | $301 |
| Dentaquest | Pb Xr 100% Default | $301 |
| Rx Allwin | Pb Xr 100% Default | $301 |
| The Health Plan | Pb Xr 100% Default | $301 |
| Harvard Pilgrim Healthcare | Pb Xr 100% Default | $301 |
| Pace Of Southwest Michigan | Pb Xr 100% Default | $301 |
| Everence | Pb Xr 100% Default | $301 |
| Union Health Service | Pb Xr 100% Default | $301 |
| Health Choices | Pb Xr 100% Default | $301 |
| Wc New York Special Funds | Pb Xr 100% Default | $301 |
| Wc New York | Pb Xr 100% Default | $301 |
| Wc Nca Comp | Pb Xr 100% Default | $301 |
| Wc Price Chopper | Pb Xr 100% Default | $301 |
| Wc Northeast Health | Pb Xr 100% Default | $301 |
| Wc Taconic (Mro) | Pb Xr 100% Default | $301 |
| Twin Valley Psychiatric | Pb Xr 100% Default | $301 |
| Utah Idaho Teamsters Security Fund | Pb Xr 100% Default | $301 |
| Us Lab | Pb Xr 100% Default | $301 |
| Upmc Health Plan | Pb Xr 100% Default | $301 |
| Van Rensselaer Manor | Pb Xr 100% Default | $301 |
| Utica National Insurance Group | Pb Xr 100% Default | $301 |
| East Greenbush Central School District | Pb Xr 100% Default | $301 |
| Wc Am Trust N America | Pb Xr 100% Default | $301 |
| Wc Alaska National Ins | Pb Xr 100% Default | $301 |
| Wc Aims | Pb Xr 100% Default | $301 |
| Wc Smile Lodge | Pb Xr 100% Default | $301 |
| Wc Sheakley Unicomp | Pb Xr 100% Default | $301 |
| Wc Triad Group | Pb Xr 100% Default | $301 |
Inpatient
$360cash price (self-pay)
$360list price
$39.41–$360range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Veterans Administration | Veterans Affairs | $60.23 |
| The Health Plan | Pb Xr 100% Default | $360 |
| Rx Allwin | Pb Xr 100% Default | $360 |
| Molina Medicare Advantage | Pb Xr 100% Default | $360 |
| Union Health Service | Pb Xr 100% Default | $360 |
| Harvard Pilgrim Healthcare | Pb Xr 100% Default | $360 |
| Dentaquest | Pb Xr 100% Default | $360 |
| Pace Of Southwest Michigan | Pb Xr 100% Default | $360 |
| Everence | Pb Xr 100% Default | $360 |
| Commonwealth Care Alliance | Pb Xr 100% Default | $360 |
| Transamerica | Pb Xr 100% Default | $360 |
| Mutual Of Omaha | Pb Xr 100% Default | $360 |
| Medical Associates | Pb Xr 100% Default | $360 |
| Apostrophe | Pb Xr 100% Default | $360 |
| Adamh Board | Pb Xr 100% Default | $360 |
| Physicians Mutual | Pb Xr 100% Default | $360 |
| Proctor Preferred | Pb Xr 100% Default | $360 |
| Sanford Health Plan | Pb Xr 100% Default | $360 |
| Dakotacare | Pb Xr 100% Default | $360 |
| Ghc Scw | Pb Xr 100% Default | $360 |
| Vestica | Pb Xr 100% Default | $360 |
| Interplan | Pb Xr 100% Default | $360 |
| Claimsbridge | Pb Xr 100% Default | $360 |
| Consociate | Pb Xr 100% Default | $360 |
| Wisconsin Labor Union | Pb Xr 100% Default | $360 |
| United Healthcare | Pb Xr 100% Default | $360 |
| Preferred One | Pb Xr 100% Default | $360 |
| Phcs | Pb Xr 100% Default | $360 |
| Ucare | Pb Xr 100% Default | $360 |
| Health Alliance | Pb Xr 100% Default | $360 |
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