Upper GI endoscopy with biopsy at Jefferson County Hospital. CPT 43239.
What Jefferson County Hospital publishes for this service, straight from its standard-charges file, last updated March 14, 2026.
Outpatient / ER
$698cash price (self-pay)
$1,989list price
$835–$3,950range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica | PPO | $835 |
| Healthcare Highways | Sync PPO | $875 |
| Humana Military Tricare | All Plans | $1,074 |
| Friday Health Plan | PPO | $1,160 |
| Healthcare Highways | Logix PPO | $1,293 |
| United Healthcare | PPO | $1,353 |
| Oklahoma Health Network (OHN) | PPO | $1,591 |
| Aetna | All Plans | $1,691 |
| Coventry | PPO | $1,691 |
| Cigna | PPO/POS | $1,790 |
| First Health | PPO | $1,790 |
| OSMA Health | PPO | $1,790 |
| Preferred Community Choice | PPO | $1,830 |
| HealthSmart | PPO | $1,870 |
| BCBS - OK | Blue Advantage HMO | $2,516 |
| BCBS - OK | Blue Lincs HMO | $2,648 |
| BCBS - OK | Blue Preferred | $2,648 |
| BCBS - OK | Blue Choice PPO | $3,435 |
| BCBS - OK | Blue Traditional PPO | $3,950 |
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