Upper GI endoscopy with biopsy at UPMC Mercy. CPT 43239.
What UPMC Mercy publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$2,978cash price (self-pay)
$4,964list price
$163–$4,521range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | Managed Medicaid | $163 |
| United Healthcare Community Plan for Families | PA Medicaid | $171 |
| Highmark Wholecare (prev Gateway) | Medicaid | $220 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $235 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $253 |
| Private Health Care Systems | PPO | $596 |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Me | $730 |
| UPMC Health Plan | Managed Medicare | $745 |
| UPMC Work Partners | Workers Comp | $802 |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $917 |
| Aetna of PA | Medicare | $939 |
| AmeriHealth Caritas | Medicare | $965 |
| Highmark Wholecare (prev Gateway) | Medicare | $965 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $965 |
| Aetna | Medicare | $983 |
| Aetna | Neighborhood Network | $1,385 |
| UPMC Health Plan | Commercial | $1,455 |
| Aetna | Home Depot Employer Group | $1,512 |
| Aetna | NBR ASO/FI | $1,539 |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,644 |
| Bravo | Medicare | $1,737 |
| Aetna | EBR FI | $1,886 |
| Aetna | EBR ASO | $1,986 |
| Cigna | Commercial | $1,986 |
| Cigna | New Business ASO | $2,035 |
| Coventry/First Health | Commercial | $2,184 |
| Highmark BCBS of PA | Managed Care | $2,201 |
| UPMC Health Plan | CHIP | $2,317 |
| InterGroup | PPO | $2,978 |
| Cigna Behavioral Health | Commercial | $2,978 |
Inpatient
$2,978cash price (self-pay)
$4,964list price
$1,519–$4,468range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Neighborhood Network | $1,519 |
| Aetna | Home Depot Employer Group | $1,653 |
| Aetna | NBR ASO/FI | $1,688 |
| Cigna | New Business ASO | $1,688 |
| Aetna | EBR FI | $1,886 |
| Aetna | EBR ASO | $1,986 |
| Cigna | Commercial | $1,986 |
| Coventry/First Health | Commercial | $2,184 |
| InterGroup | PPO | $2,978 |
| Cigna Behavioral Health | Commercial | $2,978 |
| InterGroup | Approved National Affiliated PPO Business | $3,971 |
| National Provider Network | PPO | $4,070 |
| Health Payors Organization | Commercial | $4,468 |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $4,468 |
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