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Upper GI endoscopy with biopsy at Jefferson Lansdale Hospital. CPT 43239.

What Jefferson Lansdale Hospital publishes for this service, straight from its standard-charges file, last updated September 15, 2026.

Outpatient / ER

$1,046cash price (self-pay)
$2,419list price
$149–$9,623range insurers pay
Insurance planNegotiated rate
Jefferson Health Plan Medicaid | JAB002 Caid MCO CHIP$149
Aetna Better Health | JAB002 CHIP$261
Keystone First | JAB002 Caid MCO$264
Keystone First | JAB002 Caid CHIP$264
UPMC CHC Medicaid | JAB002 Caid CHC$266
PA Health and Wellness CHC | JAB002 CHC$279
Geisinger Medicaid | JAB002 Caid$291
Aetna | JAB001_JAB002 Savings Plus$1,589
Aetna | JAB001_JAB002 PEBTF$1,695
Aetna | JAB001_JAB002 Commercial$1,765
Ibc | Jab002 PPO$1,846
Ibc | Jab002 HMO$1,846
United Healthcare | JAB001_JAB002 Commercial$2,580
Horizon BCBS of NJ | JAB001_JAB002 Managed$2,704
Horizon BCBS of NJ | JAB001_JAB002 PPO_Indemnity$2,704
Cigna | JAB001_JAB002 Commercial$3,888
UPMC Commercial | JAB001_JAB002 PPO$4,666
Cigna | JAB001_JAB002 PPO$4,666
IBC | JAB002 Indem_Trad$9,623
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All common services at Jefferson Lansdale Hospital