Upper GI endoscopy with biopsy at UPMC Memorial. CPT 43239.
What UPMC Memorial 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 |
| United Healthcare Community Plan for Families | PA Medicaid | $368 |
| Highmark BCBS of PA | Medicare | $595 |
| Capital Blue Cross | Medicare Advantage | $673 |
| Keystone Health Plan | Medicare Advantage | $673 |
| Prime Net | Managed Medicare | $685 |
| UPMC Work Partners | Workers Comp | $720 |
| Aetna | Medicare | $938 |
| Cigna | Medicare | $944 |
| Geisinger | Medicare | $944 |
| United Healthcare | Medicare | $962 |
| Prime Net | ACO/Legacy Commercial | $1,380 |
| Aetna | ACO | $1,390 |
| Keystone Autism Services | ACAP | $1,438 |
| Prime Net | GateKeeper/NonGateKeeper | $1,606 |
| Aetna | Commercial | $1,616 |
| Geisinger | Commercial | $2,204 |
| UPMC Health Plan | CHIP | $2,317 |
| UPMC Health Plan | Commercial | $2,356 |
| Wellspan Population Health | Commercial | $2,356 |
| Prime Net | FH-Medical Rental | $2,508 |
| Capital Blue Cross | CHIP | $2,582 |
| Capital Blue Cross | Commercial | $2,582 |
| Keystone Health Plan | Commercial | $2,582 |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,861 |
| Highmark BCBS of PA | Medicaid | $2,978 |
Inpatient
$2,020cash price (self-pay)
$3,366list price
$1,633–$2,861range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Prime Net | ACO/Legacy Commercial | $1,633 |
| Aetna | ACO | $1,643 |
| Prime Net | GateKeeper/NonGateKeeper | $1,898 |
| Aetna | Commercial | $1,912 |
| Geisinger | Commercial | $2,431 |
| Prime Net | FH-Medical Rental | $2,508 |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,861 |
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