Upper GI endoscopy with biopsy at Jefferson Methodist Hospital. CPT 43239.
What Jefferson Methodist Hospital publishes for this service, straight from its standard-charges file, last updated September 15, 2026.
Outpatient / ER
$1,072cash price (self-pay)
$1,827list price
$149–$8,392range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Jefferson Health Plan Medicaid | JCC001_JCC002 Caid MCO CHIP | $149 |
| UPMC CHC Medicaid | JCC001 JCC002 CHIP | $266 |
| UPMC CHC Medicaid | JCC001 JCC002 CHC | $266 |
| PA Health and Wellness CHC | JCC001_JCC002 CHC | $279 |
| Aetna Better Health | JCC001_JCC002 CHIP | $287 |
| Geisinger Medicaid | JCC001 JCC002 Caid MCO | $291 |
| Keystone First | JCC002 Caid CHIP | $599 |
| Keystone First | JCC002 Caid MCO | $599 |
| Ibc | Jcc002 HMO | $2,342 |
| Ibc | Jcc002 PPO | $2,342 |
| Aetna | JCC001_JCC002 PEBTF | $3,566 |
| Aetna | JCC001_JCC002 Commercial | $4,194 |
| Horizon BCBS of NJ | JCC001_JCC002 PPO | $6,300 |
| Horizon BCBS of NJ | Commercial HMO | $6,300 |
| Horizon BCBS of NJ | JCC001_ JCC002 Indemnity | $6,300 |
| Cigna | JCC001_JCC002 Commercial | $6,993 |
| Cigna | JCC001_JCC002 PPO | $8,392 |
| UPMC Commercial | JCC001_JCC002 PPO | $8,392 |
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