Upper GI endoscopy with biopsy at Mercy Fitzgerald Hospital. CPT 43239.
What Mercy Fitzgerald Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$301cash price (self-pay)
$301list price
$43.67–$4,611range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Jefferson Health Plans Medicaid | Health Partners Medicaid | $51.29 |
| Rx Allwin | Medicare | $62.84 |
| Molina Medicare Advantage | Medicare | $62.84 |
| Huron Valley Pace | Medicare | $62.84 |
| Pace Cny | Medicare | $62.84 |
| Pace-Trinity Health | Medicare | $62.84 |
| Wellsense Health Plan Medicare Advantage | Medicare | $62.84 |
| Brand New Day Medicare Advantage | Medicare | $62.84 |
| Medstar Medicare Advantage | Medicare | $62.84 |
| Martins Point Generations Advantage | Medicare | $62.84 |
| Blue Cross - Ms Medicare Advantage | Medicare | $62.84 |
| Blue Cross - MA Medicare Advantage | Medicare | $62.84 |
| Devoted Health Medicare Advantage | Devoted Health Medicare Advantage | $65.98 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $69.12 |
| Blue Cross - Pa (Independence) Medicare Advantage | Independence Blue | $72.46 |
| Coventry Medicare Advantage | Coventry Advantra Medicare Advantage | $76.94 |
| Jefferson Health Plan Commercial | Jefferson Health Plan | $85.28 |
| Geha | United Healthcare | $107 |
| United Healthcare | United Healthcare | $107 |
| Cigna | Cigna | $124 |
| Jefferson Health Plans Medicare | Health Partners Medicare Advantage | $126 |
| Health Partners Medicare Advantage | Health Partners Medicare Advantag | $126 |
| Upmc Medicare Advantage | Upmc Health Plan Medicare Advantage | $138 |
| Upmc Medicaid Advantage | Upmc Health Plan Medicaid | $159 |
| Prime Healthcare | Prime Healthcare | $199 |
| Allwell Pa Health & Wellness Medicaid Advantage | Pa Health And Wellne | $314 |
| Cigna Medicare Advantage | Cigna Healthspring Medicare Advantage | $559 |
| Align Senior Care | Ally Align Health | $564 |
| Keystone First Chc Medicare Advantage | Keystone First Medicare Advant | $570 |
| Allwell Pa Health & Wellness Medicare Advantage | Pa Health & Wellness | $598 |
Inpatient
$350cash price (self-pay)
$350list price
$43.67–$333range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Rx Allwin | Medicare | $62.84 |
| Molina Medicare Advantage | Medicare | $62.84 |
| Tristate Benefit Solutions Medicare Advantage | Medicare | $62.84 |
| Ally Align Care Adv | Medicare | $62.84 |
| Humana Central Valley Medpro | Medicare | $62.84 |
| Medicare Puerto Rico | Medicare | $62.84 |
| Mercyone Cedar Valley | Medicare | $62.84 |
| Paramount Medicare Advantage | Medicare | $62.84 |
| Pace Southeast | Medicare | $62.84 |
| Everence | Medicare | $62.84 |
| Nascentia Health Plus | Medicare | $62.84 |
| Georgia Health Advantage | Medicare | $62.84 |
| New Centry Health Careplus | Medicare | $62.84 |
| Iowa Health Advantage | Medicare | $62.84 |
| Php Medicare | Medicare | $62.84 |
| Sanford Health Plan Medicare Advantage | Medicare | $62.84 |
| Cca - Zing Health | Medicare | $62.84 |
| American Health Advantage Of Idaho | Medicare | $62.84 |
| Blue Shield - De (Highmark) Medciare Advantage | Medicare | $62.84 |
| Aetna Medicare Assure Premier HMO D-Snp | Medicare | $62.84 |
| Pacificsource Health Plans Medicare Advantage | Medicare | $62.84 |
| Eon Health Medicare Advantage | Medicare | $62.84 |
| Evercare | Evercare Medicare Advantage | $64.09 |
| Tricare East Humana | Tricare | $66.52 |
| Wc Erie | Workers Comp | $72.45 |
| Wc Aegis | Workers Comp | $72.45 |
| Wc Allied | Workers Comp | $72.45 |
| Wc Employee Mutual | Workers Comp | $72.45 |
| Njm Insurance Group | Workers Comp | $72.45 |
| Wc Idaho State Ins Fund | Workers Comp | $72.45 |
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