Upper GI endoscopy with biopsy at St Lukes Hospital Carbon Campus. CPT 43239.
What St Lukes Hospital Carbon Campus publishes for this service, straight from its standard-charges file, last updated February 27, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$175–$4,300range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Geisinger | Medicaid/CHIP | $175 |
| AmeriHealth Caritas | Medicaid | $178 |
| Highmark Wholecare | Medicaid | $178 |
| UPMC Health Plan | Medicaid | $178 |
| Jefferson Health Plan | CHIP/Medicaid | $214 |
| Capital Blue Cross | Medicare | $933 |
| Highmark | Medicare Advantage | $933 |
| Highmark | Freedom Blue Medicare Advantage | $943 |
| Aetna | Medicare | $952 |
| Geisinger | Medicare | $952 |
| Humana | Medicare | $971 |
| UPMC Health Plan | Medicare Advantage | $980 |
| United Healthcare | Medicare Advantage | $1,008 |
| Highmark | Commercial/Special Care | $2,621 |
| Capital Blue Cross | Commercial | $2,887 |
| Independence Blue Cross | AmeriHealth | $4,300 |
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