Upper GI endoscopy with biopsy at UPMC Passavant-McCandless. CPT 43239.
What UPMC Passavant-McCandless publishes for this service, straight from its standard-charges file, last updated March 7, 2026.
Outpatient / ER
$2,214cash price (self-pay)
$3,690list price
$163–$4,394range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | Managed Medicaid | $163 |
| United Healthcare Community Plan for Families | Unison Kids | $171 |
| Highmark Wholecare (prev Gateway) | Medicaid | $220 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $232 |
| PA Health & Wellness | PA Medicaid HMO | $253 |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Me | $737 |
| UPMC Work Partners | Workers Comp | $757 |
| UPMC Health Plan | Managed Medicare | $831 |
| Private Health Care Systems | Workers' Comp | $881 |
| Health Plan of Upper Ohio Valley | Medicare | $894 |
| Health Plan of Upper Ohio Valley | Medicaid | $894 |
| 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 |
| Aetna | Medicare | $983 |
| UPMC Health Plan | Commercial | $1,047 |
| Cigna | New Business ASO | $1,255 |
| Cigna | Commercial | $1,476 |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,640 |
| Health Plan of Upper Ohio Valley | Commercial | $1,705 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,045 |
| Highmark BCBS of PA | Managed Care | $2,197 |
| Coventry/First Health | Commercial | $2,583 |
| Highmark BCBS of PA | Commercial - Indemnity | $2,739 |
| InterGroup | PPO | $3,063 |
| Humana | Commercial | $3,137 |
| Multiplan | PPO (Includes Workers' Comp) | $3,137 |
Inpatient
$2,214cash price (self-pay)
$3,690list price
$1,328–$3,432range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | New Business ASO | $1,328 |
| Cigna | Commercial | $1,476 |
| Coventry/First Health | Commercial | $2,583 |
| InterGroup | PPO | $3,321 |
| Humana | Commercial | $3,432 |
| Multiplan | PPO (Includes Workers' Comp) | $3,432 |
| Private Health Care Systems | PPO | $3,432 |
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