Upper GI endoscopy with biopsy at Jefferson Hospital. CPT 43239.
What Jefferson Hospital publishes for this service, straight from its standard-charges file, last updated April 14, 2026.
Outpatient / ER
$72.77cash price (self-pay)
$383list price
$112–$2,955range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerihealth | Amerihealth Caritas Medicare (NY) | $156 |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $215 |
| Amerihealth | Amerihealth Caritas HC Medicaid | $215 |
| Geisinger | Geisinger CHIP | $238 |
| Geisinger | Geisinger Medicaid HC | $238 |
| Aetna | Aetna Better Health CHIP | $258 |
| Highmark | Highmark Together Blue | $293 |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $296 |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Me | $322 |
| University of Pittsburgh Medical Center | University of Pittsburgh Med | $323 |
| United Healthcare | United Healthcare Medicaid | $333 |
| Amerihealth | Amerihealth Medicaid CHC | $354 |
| Amerihealth | Amerihealth Medicaid HC | $354 |
| Highmark | Highmark My Direct Blue | $458 |
| Life Pittsburgh | Life Pittsburgh Medicare | $515 |
| American Health Plans | American Health Plans Medicare | $521 |
| Devoted Medicare | Devoted Health Medicare Advantage | $532 |
| Highmark | Highmark Security Blue | $535 |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $552 |
| Highmark | Highmark Social Mission Indemnity | $577 |
| Highmark | Highmark Social Mission Managed Care | $577 |
| Highmark | Highmark My Blue Access | $606 |
| Highmark | Highmark Blue High Performance | $689 |
| Highmark | Highmark Performance Blue | $689 |
| Highmark | Highmark Connect Blue | $754 |
| Highmark | Highmark Community Blue | $828 |
| Highmark | Highmark Indemnity | $828 |
| Highmark | Highmark Managed Care | $828 |
| Highmark | Highmark Community Blue Medicare PPO | $830 |
| Highmark | Highmark Complete Blue Medicare | $830 |
Inpatient
—cash price (self-pay)
—list price
$112–$268range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Univera | Univera Essential Plan | $112 |
| Univera | Univera Healthy New York | $112 |
| Highmark | Highmark Community Blue Medicare | $119 |
| Life Pittsburgh | Life Pittsburgh Medicare | $128 |
| Highmark | Highmark Security Blue | $131 |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $135 |
| Devoted Medicare | Devoted Health Medicare Advantage | $135 |
| Univera | Univera Medicare | $140 |
| American Health Plans | American Health Plans Medicare | $140 |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $156 |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $156 |
| Univera | Univera Commercial | $164 |
| Highmark | Highmark Together Blue | $166 |
| Highmark | Highmark Blue High Performance | $175 |
| Highmark | Highmark Community Blue | $175 |
| Highmark | Highmark Connect Blue | $175 |
| Highmark | Highmark Indemnity | $175 |
| Highmark | Highmark Managed Care | $175 |
| Highmark | Highmark My Blue Access | $175 |
| Highmark | Highmark My Direct Blue | $175 |
| Highmark | Highmark Performance Blue | $175 |
| Highmark | Highmark Social Mission Indemnity | $175 |
| Highmark | Highmark Social Mission Managed Care | $175 |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $196 |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $215 |
| Amerihealth | Amerihealth Caritas HC Medicaid | $215 |
| Geisinger | Geisinger CHIP | $215 |
| Geisinger | Geisinger Medicaid HC | $215 |
| United Healthcare | United Healthcare Medicaid | $215 |
| Cigna | Cigna Commercial | $218 |
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