Upper GI endoscopy with biopsy at UPMC Carlisle. CPT 43239.
What UPMC Carlisle publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$2,020cash price (self-pay)
$3,366list price
$189–$5,035range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $189 |
| UPMC Health Plan | Managed Medicaid | $193 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $195 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $202 |
| Geisinger | Medicaid/CHIP | $216 |
| PA Health & Wellness | PA Medicaid HMO | $253 |
| United Healthcare Community Plan for Families | PA Medicaid | $368 |
| Prime Net | Managed Medicare | $638 |
| Capital Blue Cross | Medicare Advantage | $673 |
| Keystone Health Plan | Medicare Advantage | $673 |
| UPMC Work Partners | Workers Comp | $764 |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue | $888 |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $888 |
| Humana | Medicare | $897 |
| Aetna | Medicare | $935 |
| Cigna | Medicare | $942 |
| Geisinger | Medicare | $942 |
| United Healthcare | Medicare | $960 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $969 |
| Prime Net | Legacy Commercial | $1,313 |
| Aetna | ACO | $1,323 |
| Prime Net | ACO | $1,323 |
| Keystone Autism Services | ACAP | $1,435 |
| Prime Net | NonGateKeeper | $1,565 |
| Aetna | Commercial | $1,575 |
| Prime Net | GateKeeper | $1,575 |
| Capital Blue Cross | CHIP | $1,841 |
| Capital Blue Cross | Commercial | $1,841 |
| Keystone Health Plan | Commercial | $1,841 |
| Wellspan Population Health | PPO | $2,188 |
Inpatient
$2,020cash price (self-pay)
$3,366list price
$1,373–$2,861range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Prime Net | Legacy Commercial | $1,373 |
| Aetna | ACO | $1,383 |
| Prime Net | ACO | $1,383 |
| Prime Net | NonGateKeeper | $1,636 |
| Aetna | Commercial | $1,646 |
| Prime Net | GateKeeper | $1,646 |
| Geisinger | Commercial | $2,431 |
| Prime Net | FH-Medical Rental | $2,545 |
| Wellspan Population Health | PPO | $2,693 |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,861 |
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