Upper GI endoscopy with biopsy at UPMC Northwest. CPT 43239.
What UPMC Northwest publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$2,132cash price (self-pay)
$3,554list price
$163–$3,021range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | Managed Medicaid | $163 |
| United Healthcare Community Plan for Families | Unison Kids | $171 |
| Aetna | Medicaid | $178 |
| Highmark Wholecare (prev Gateway) | Medicaid | $220 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $232 |
| PA Health & Wellness | PA Medicaid HMO | $253 |
| UPMC Work Partners | Workers Comp | $688 |
| UPMC Health Plan | Managed Medicare | $811 |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue | $894 |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $915 |
| Aetna | Medicare | $921 |
| United Healthcare | Unison Advantage Non Special Needs | $939 |
| Aetna of PA | Medicare | $939 |
| Highmark Wholecare (prev Gateway) | Medicare | $965 |
| AmeriHealth Caritas | Medicare | $965 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $965 |
| United Healthcare | Unison Advantage Special Needs | $983 |
| UPMC Health Plan | Commercial | $1,094 |
| Aetna | EBR ASO | $1,422 |
| Cigna | Commercial | $1,422 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Ca | $1,894 |
| Aetna | EBR FI | $2,132 |
| Aetna | Neighborhood Network | $2,132 |
| Aetna | Home Depot Employer Group | $2,193 |
| Aetna | NBR ASO/FI | $2,239 |
| Cigna | New Business ASO | $2,239 |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $2,334 |
| InterGroup | PPO | $2,434 |
| Coventry/First Health | Commercial | $2,488 |
| Health Coalition Partners | PPO | $2,559 |
Inpatient
$2,132cash price (self-pay)
$3,554list price
$1,422–$3,704range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | EBR ASO | $1,422 |
| Cigna | Commercial | $1,422 |
| Aetna | EBR FI | $2,061 |
| Aetna | Neighborhood Network | $2,203 |
| Aetna | Home Depot Employer Group | $2,264 |
| Aetna | NBR ASO/FI | $2,310 |
| Cigna | New Business ASO | $2,310 |
| Coventry/First Health | Commercial | $2,488 |
| Private Health Care Systems | PPO | $2,843 |
| InterGroup | PPO | $3,007 |
| Humana | Commercial | $3,021 |
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