Upper GI endoscopy with biopsy at UPMC Presbyterian. CPT 43239.
What UPMC Presbyterian publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$4,331cash price (self-pay)
$7,218list price
$163–$6,135range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | Managed Medicaid | $163 |
| Aetna | CHIP/Medicaid | $193 |
| Highmark Wholecare (prev Gateway) | Medicaid | $220 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $224 |
| Geisinger | Medicaid/CHIP | $231 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $235 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $253 |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $337 |
| Highmark BCBS of PA | Medicare Advantage | $737 |
| UPMC Work Partners | Workers Comp | $802 |
| UPMC Health Plan | Commercial | $881 |
| Multiplan | Worker's Compensation | $933 |
| Highmark Wholecare (prev Gateway) | Medicare | $965 |
| AmeriHealth Caritas | Medicare | $965 |
| Cigna Lifesource | Medicare Transplant | $965 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $965 |
| United Healthcare | Medicare | $965 |
| Aetna | Medicare | $983 |
| Aetna of PA | Medicare | $983 |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,826 |
| Highmark BCBS of PA | Managed Care | $2,446 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,751 |
| Preferred Healthcare System | PPO | $4,692 |
| Highmark BCBS of PA | UPMC Emergent | $4,891 |
| Highmark BCBS of PA | Commercial - Indemnity | $5,023 |
| Coventry/First Health | Commercial | $5,053 |
| InterGroup | InterGroup Services Corporation | $5,414 |
| Fidelis | Medicare | $5,414 |
| Multiplan | PPO | $5,774 |
| Private Health Care Systems | PPO | $5,774 |
Inpatient
$4,331cash price (self-pay)
$7,218list price
$4,692–$6,135range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Preferred Healthcare System | PPO | $4,692 |
| Coventry/First Health | Commercial | $5,053 |
| InterGroup | InterGroup Services Corporation | $5,414 |
| Fidelis | Medicare | $5,414 |
| Multiplan | PPO | $5,774 |
| Private Health Care Systems | PPO | $5,774 |
| SelectCare | Commercial | $5,774 |
| Health Coalition Partners | Intergroup | $5,774 |
| Health Payors Organization | Commercial | $6,135 |
| Humana | Commercial | $6,135 |
| InterGroup | Approved National Affiliated PPO Business | $6,135 |
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