Upper GI endoscopy with biopsy at UPMC Hamot. CPT 43239.
What UPMC Hamot publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$3,124cash price (self-pay)
$5,207list price
$163–$4,166range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | Managed Medicaid | $163 |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $171 |
| Aetna | Medicaid | $178 |
| Geisinger | Medicaid/CHIP | $207 |
| Highmark Wholecare (prev Gateway) | Medicaid | $220 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $224 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $232 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $253 |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Me | $730 |
| UPMC Work Partners | Workers Comp | $757 |
| Univera | Univera_Medicare_Hamot_2024 | $781 |
| Fidelis | Medicare | $1,032 |
| Aetna | Medicare | $1,052 |
| UPMC Health Plan | Partners/Select | $1,053 |
| Wellcare | Medicare Advantage | $1,063 |
| BCBS of Western NY | Medicare Advantage | $1,083 |
| United Healthcare | Medicare | $1,104 |
| Highmark Wholecare (prev Gateway) | Medicare | $1,114 |
| Cigna | Medicare | $1,114 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $1,114 |
| AmeriHealth Caritas | Medicare | $1,114 |
| Independent Health | Medicare Advantage | $1,300 |
| Aetna | Commercial | $1,302 |
| Independent Health | Commercial | $1,413 |
| United Healthcare | Commercial | $1,535 |
| Cigna | New Business ASO | $1,562 |
| Cigna | NBR ASO/FI | $1,562 |
| Cigna | Commercial | $2,083 |
| Cigna | EBR | $2,083 |
| BCBS of Western NY | Commercial | $2,178 |
Inpatient
$3,124cash price (self-pay)
$5,207list price
$1,406–$4,166range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $1,406 |
| Cigna | New Business ASO | $1,562 |
| Cigna | NBR ASO/FI | $1,562 |
| Univera | Commercial | $1,718 |
| Cigna | Commercial | $2,083 |
| Cigna | EBR | $2,083 |
| InterGroup | Health Coalition Partners/PPO | $3,385 |
| Aetna | AXA/MMO | $3,645 |
| Multiplan | PPO (Includes PHCS as a Payer) | $3,645 |
| InterGroup | Beech Street | $4,166 |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $4,166 |
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