Upper GI endoscopy with biopsy at UPMC Somerset. CPT 43239.
What UPMC Somerset publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$2,020cash price (self-pay)
$3,419list price
$163–$2,937range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | Managed Medicaid | $163 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $171 |
| Highmark Wholecare (prev Gateway) | Medicaid | $191 |
| Geisinger | Medicaid | $207 |
| United Healthcare Community Plan for Families | PA Medicaid | $323 |
| Highmark BCBS of PA | Medicare Advantage | $722 |
| UPMC Work Partners | Workers Comp | $730 |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue | $885 |
| AmeriHealth Caritas | Medicare | $894 |
| United Healthcare | Medicare | $894 |
| UPMC Health Plan | Managed Medicare | $894 |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $912 |
| Highmark Wholecare (prev Gateway) | Medicare | $965 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Ca | $1,326 |
| Geisinger | Commercial | $1,346 |
| Aetna of PA | TPA/Carrier | $1,368 |
| United Healthcare | Commercial | $1,474 |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,678 |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,710 |
| Galaxy Health Plan | Commercial | $2,222 |
| UPMC Health Plan | CHIP | $2,317 |
| Humana | Commercial | $2,564 |
| UPMC Health Plan | Commercial | $2,937 |
Inpatient
$2,020cash price (self-pay)
$3,419list price
$2,188–$2,604range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Galaxy Health Plan | Commercial | $2,222 |
| Multiplan | PPO (Includes PHCS as a Payer) | $2,222 |
| Humana | Commercial | $2,564 |
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