Upper GI endoscopy with biopsy at Prague Regional Memorial Hospital. CPT 43239.
What Prague Regional Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 30, 2026.
Outpatient / ER
$118cash price (self-pay)
$300list price
$118–$2,099range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Mcare Select | BCBS Mcare Select | $118 |
| BCBS Mcr Adv | BCBS Mcr Adv | $118 |
| Wellcare Mcr Adv - All Plans | Wellcare Mcr Adv - All Plans | $118 |
| Humana Mcr Adv | Humana Mcr Adv | $118 |
| UHC Mcr Adv | UHC Mcr Adv | $118 |
| Va Ccn - All Plans | Va Ccn - All Plans | $118 |
| Aetna Better Hlth | Aetna Better Hlth | $118 |
| Humana Mcaid | Humana Mcaid | $118 |
| Sonnerselect Mcaid - All Plans | Sonnerselect Mcaid - All Plans | $118 |
| BCBS Native Blue | BCBS Native Blue | $121 |
| Hch Comm - All Plans | Hch Comm - All Plans | $129 |
| Aetna Mcr Adv | Aetna Mcr Adv | $135 |
| Ambetter Exchange - All Plans | Ambetter Exchange - All Plans | $135 |
| Humana Comm - All Other Plans | Humana Comm - All Other Plans | $141 |
| UHC Comm - All Other Plans | UHC Comm - All Other Plans | $147 |
| Cigna - All Plans | Cigna - All Plans | $159 |
| Aetna Comm - All Other Plans | Aetna Comm - All Other Plans | $448 |
| BCBS HMO/Adv PPO | BCBS HMO/Adv PPO | $1,277 |
| BCBS Blue Pref PPO | BCBS Blue Pref PPO | $1,549 |
| BCBS Blue Choice PPO | BCBS Blue Choice PPO | $1,824 |
| BCBS Trad - All Other Plans | BCBS Trad - All Other Plans | $2,099 |
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