Upper GI endoscopy with biopsy at Jefferson Einstein Montgomery Hospital. CPT 43239.
What Jefferson Einstein Montgomery Hospital publishes for this service, straight from its standard-charges file, last updated September 15, 2026.
Outpatient / ER
$1,069cash price (self-pay)
—list price
$863–$8,218range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Jefferson | Health | $882 |
| US | Family | $906 |
| IBC | Medicare | $928 |
| Humana | Medicare | $928 |
| Trinity | Health | $928 |
| Devoted | Health | $928 |
| United | Medicare | $961 |
| Cigna | Medicare | $965 |
| UPMC | Medicare | $975 |
| Provider | Partners | $975 |
| Highmark | Medicare | $975 |
| Aetna | Medicare | $984 |
| Advantra | Medicare | $984 |
| Highmark | Wholecare | $1,002 |
| United | Group | $1,002 |
| PA | Health | $1,009 |
| Wellcare | Medicare | $1,021 |
| Geisinger | Medicaid | $1,050 |
| Geisinger | Medicare | $1,067 |
| IBC | Proactive | $1,300 |
| Health | Partners | $1,308 |
| Ambetter | Commercial | $1,346 |
| Keystone | First | $1,650 |
| United | Healthcare | $2,023 |
| Highmark | ACA | $2,043 |
| Highmark | Blue | $2,404 |
| United | Commercial | $2,493 |
| Ibc | PPO | $2,568 |
| Ibc | HMO | $2,568 |
| UPMC | Medicaid | $2,734 |
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All common services at Jefferson Einstein Montgomery Hospital