Upper GI endoscopy with biopsy at Suburban Behavioral Health Campus of Roxborough Memorial Hospital. CPT 43239.
What Suburban Behavioral Health Campus of Roxborough Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$927cash price (self-pay)
$5,569list price
$158–$6,638range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Traditional Medicaid | Traditional Medicaid | $281 |
| Humana Military Tricare | Humana Military Tricare | $742 |
| UHC | UHC Va Ccn | $927 |
| Health Partners Plan | Health Partners Plan Medicare | $927 |
| Independence Blue Cross | IBC Medicare | $927 |
| PA Health & Wellness | PA Health & Wellness Medicare & Duals | $927 |
| Traditional Medicare | Traditional Medicare | $927 |
| Tricare | Tricare | $927 |
| UHC | UHC Medicare | $927 |
| Providers Partner Health Plan | Provider Partners Health Plan | $955 |
| Keystone | Keystone First Medicare | $964 |
| Ally-Align Medicare | Ally-Align Medicare | $974 |
| Spartan | Spartan Plan | $974 |
| Auto Insurance | Auto Insurance | $1,020 |
| Worker Compensation | Worker Compensation | $1,048 |
| PA Health & Wellness | PA Health & Wellness Commercial Insurance Excha | $1,113 |
| Employer Direct Healthcare | Employer Direct Healthcare | $1,298 |
| Health Partners Plan | Health Partners Plan Exchange | $1,391 |
| Naphcare | Naphcare | $1,437 |
| UHC | UHC Exchange | $1,459 |
| Health Partners Plan | Health Partners Plan Medicaid | $1,582 |
| Keystone | Keystone First Medicaid | $1,896 |
| UHC | UHC Commercial All Payer | $1,938 |
| Independence Blue Cross | IBC PPACA | $1,999 |
| Highmark | Highmark Commercial (02-01-2024 to 12-31-2026) | $2,020 |
| UHC | UHC Medicaid | $2,040 |
| Cigna | Cigna Commercial (05-01-2023 to 12-31-2026) | $2,193 |
| Independence Blue Cross | IBC Indemnity | $2,523 |
| Independence Blue Cross | IBC Commercial HMO PPO | $2,523 |
| PA Health & Wellness | PA Health & Wellness Medicaid | $3,500 |
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All common services at Suburban Behavioral Health Campus of Roxborough Memorial Hospital