Upper GI endoscopy with biopsy at Riddle Memorial Hospital. CPT 43239.
What Riddle Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,126cash price (self-pay)
$3,667list price
$932–$4,810range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | Ibc Advantage Medicare Managed Care - Hmo | $932 |
| Humana | Medicare Managed Care Plan | $950 |
| Health Partners/Jefferson Health | Medicare Managed Care Plan | $978 |
| Devoted Health | Medicare Managed Care Plan | $997 |
| Aetna | Advantra Medicare Managed Care Plan | $1,016 |
| Pa Health & Wellness | Dual Eligible Medicare Managed Care Plan | $1,025 |
| Highmark Wholecare | Medicare Managed Care Plan | $1,034 |
| Unitedhealthcare | Advantage Group Medicare Managed Care Plan | $1,040 |
| Geisinger Health | Medicare Managed Care Plan | $1,044 |
| Blue Cross | Dvaco Other Commercial Plan | $1,165 |
| Blue Cross | Ibc Ppo | $2,698 |
| Blue Cross | Ibc Hmo | $2,698 |
| Blue Cross | Ibc Administrators Ppo | $2,698 |
| Aetna | Custom - Pebtf/Rehp Hmo | $3,607 |
| Aetna | Ppo | $4,810 |
| Aetna | Hmo | $4,810 |
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