Upper GI endoscopy with biopsy at UPMC Wellsboro. CPT 43239.
What UPMC Wellsboro publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$3,526cash price (self-pay)
$5,604list price
$163–$5,583range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $163 |
| Geisinger | Medicaid/CHIP | $163 |
| UPMC Health Plan | CHIP | $163 |
| UPMC Health Plan | Managed Medicaid | $163 |
| Highmark Wholecare (prev Gateway) | Medicaid | $166 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $224 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $253 |
| United Healthcare Community Plan for Families | PA Medicaid | $360 |
| UPMC Work Partners | Workers Comp | $730 |
| Aetna | Medicare | $1,009 |
| Highmark BCBS of PA | Medicare | $1,121 |
| Highmark Wholecare (prev Gateway) | Medicare | $1,121 |
| UPMC Health Plan | Managed Medicare | $1,143 |
| Cigna | Medicare | $1,177 |
| United Healthcare | Medicare | $1,199 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $1,210 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,406 |
| UPMC Health Plan | Commercial | $2,443 |
| Highmark BCBS of PA | Commercial | $2,834 |
| Wirerope Works | Commercial | $3,116 |
| Geisinger | Commercial | $3,754 |
| Aetna | PEBTF Custom Network | $4,111 |
| Multiplan | Auto | $4,371 |
| Multiplan | PPO (Includes PHCS as a Payer) | $4,371 |
| United Healthcare | Commercial | $4,763 |
| Aetna | Commercial | $4,836 |
| America's Choice | PPO | $5,043 |
| InterGroup | PPO | $5,043 |
| Multiplan | Worker's Compensation | $5,323 |
Inpatient
$3,526cash price (self-pay)
$5,604list price
$2,963–$5,583range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wirerope Works | Commercial | $3,116 |
| Aetna | PEBTF Custom Network | $4,111 |
| Multiplan | Auto | $4,371 |
| Multiplan | PPO (Includes PHCS as a Payer) | $4,371 |
| United Healthcare | Commercial | $4,763 |
| Aetna | Commercial | $4,836 |
| America's Choice | PPO | $5,043 |
| InterGroup | PPO | $5,043 |
| Multiplan | Worker's Compensation | $5,323 |
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