Upper GI endoscopy with biopsy at Wayne Memorial Hospital. CPT 43239.
What Wayne Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 16, 2026.
Outpatient / ER
$1,447cash price (self-pay)
$2,247list price
$827–$1,941range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | Blue Cross | $899 |
| KeyStone First | KEYSTONE FIRST | $899 |
| MEDICARE ADVANTAGE 100Percentage | MEDICARE ADVANTAGE 100Percentage | $964 |
| Humana | Humana | $974 |
| Upmc Medicare | Upmc Medicare | $1,003 |
| Ambetter | AMBETTER | $1,022 |
| Pa Health & Wellness | Pa Health Wellness | $1,022 |
| Upmc | Upmc | $1,213 |
| WELLPATH (State Prison) | WELLPATH (State Prison) | $1,254 |
| Geisinger | Geisinger | $1,550 |
| Cigna | Cigna | $1,573 |
| Phcs | Phcs | $1,573 |
| Self-Pay | Self-Pay | $1,573 |
| UHC | UHC | $1,573 |
| Aetna | Aetna | $1,685 |
| WELLPATH (Federal Prison) | WELLPATH (Federal Prison) | $1,784 |
| MultiPlan | MULTIPLAN | $1,797 |
Inpatient
$1,447cash price (self-pay)
$2,247list price
$827–$1,941range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| KeyStone First | KEYSTONE FIRST | $899 |
| Phcs | Phcs | $1,573 |
| Self-Pay | Self-Pay | $1,573 |
| MultiPlan | MULTIPLAN | $1,797 |
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