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Upper GI endoscopy with biopsy at Summa Health System. CPT 43239.

What Summa Health System publishes for this service, straight from its standard-charges file, last updated April 1, 2026.

Outpatient / ER

$1,650cash price (self-pay)
$2,284list price
$787–$5,050range insurers pay
Insurance planNegotiated rate
Aetna | Medicare Managed Care Plan$858
Medical Mutual - Asc | Medflex Other Commercial Plan$863
Cigna | Medicare Managed Care Plan$884
Caresource | Medicare Managed Care Plan$901
Unitedhealthcare - Asc | All Commercial Plans$990
Medical Mutual - Asc | Aca Exchange$1,015
Medical Mutual - Asc | Supermed Hmo/Pos/Ppo$1,015
Buckeye Health Plan | Medicare Managed Care Plan$1,073
Ohio Health Choice - Asc | Preferred Health Choice All Commercial Plan$1,100
Medical Mutual | Aca Exchange$1,199
Aetna | Exchange$1,287
Bcbs | Anthem Pathway Exchange$1,348
Unitedhealthcare | Exchange$1,459
Buckeye Health Plan | Ambetter Exchange$1,587
Medical Mutual | Medflex Other Commercial Plan$1,737
The Health Plan | Hmo/Pos/Ppo$1,914
Medical Mutual | Supermed Hmo/Pos/Ppo$1,922
Summacare | Connect Exchange$1,982
Summacare | Excludes Community Choice All Commercial Plans$2,008
Cigna | All Commercial Plans$2,967
Bcbs | Anthem Blue Access/Blue Preferred Hmo/Ppo$3,025
Unitedhealthcare | All Commercial Plans$3,239
Aetna | All Commercial Plans$5,050
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All common services at Summa Health System