Upper GI endoscopy with biopsy at UPMC St. Margaret. CPT 43239.
What UPMC St. Margaret publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$4,158cash price (self-pay)
$6,930list price
$163–$5,891range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $163 |
| UPMC Health Plan | Managed Medicaid | $163 |
| 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 | $772 |
| Aetna of PA | Medicare | $939 |
| Highmark Wholecare (prev Gateway) | Medicare | $965 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $965 |
| Aetna | Medicare | $983 |
| UPMC Health Plan | Commercial | $1,040 |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,640 |
| Aetna | Neighborhood Network | $1,746 |
| Aetna | Home Depot Employer Group | $1,899 |
| Aetna | NBR ASO/FI | $1,940 |
| Cigna | New Business ASO | $1,940 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,132 |
| Highmark BCBS of PA | Managed Care | $2,197 |
| Aetna | EBR FI | $2,633 |
| Aetna | EBR ASO | $2,772 |
| Cigna | Commercial | $2,772 |
| Highmark BCBS of PA | Commercial - Indemnity | $2,856 |
| Highmark BCBS of PA | UPMC Emergent | $4,394 |
| Coventry/First Health | Commercial | $4,851 |
| Private Health Care Systems | PPO | $5,544 |
| SelectCare | Commercial | $5,544 |
| Humana | Commercial | $5,891 |
Inpatient
$4,158cash price (self-pay)
$6,930list price
$1,809–$5,891range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Neighborhood Network | $1,809 |
| Aetna | Home Depot Employer Group | $1,968 |
| Aetna | NBR ASO/FI | $2,010 |
| Cigna | New Business ASO | $2,010 |
| Aetna | EBR FI | $2,633 |
| Aetna | EBR ASO | $2,772 |
| Cigna | Commercial | $2,772 |
| Coventry/First Health | Commercial | $4,851 |
| Private Health Care Systems | PPO | $5,544 |
| SelectCare | Commercial | $5,544 |
| Humana | Commercial | $5,891 |
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