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Upper GI endoscopy with biopsy at WellSpan Evangelical Community Hospital. CPT 43239.

What WellSpan Evangelical Community Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.

Outpatient / ER

—cash price (self-pay)
—list price
$854–$4,362range insurers pay
Insurance planNegotiated rate
UPMC_Medicaid | All_Plans$854
Aetna | All_Plans$902
Blue_Cross_BlueJourney_Medicare | All_Plans$902
First_Health_Network | All_Plans$902
Highmark_Medicare | All_Plans$911
Amerihealth_Caritas_Medicaid | All_Plans$916
Aetna_Advantra_Medicare | All_Plans$920
Humana_Medicare | All_Plans$920
Geisinger_Gold_Medicare | All_Plans$929
Amerihealth_Medicare | All_Plans$938
Devoted_Medicare | All_Plans$947
UPMC_for_Life_Community_HealthChoices | UPMC_for_Life_Complete_Care$947
United_Medicare | ISNP_DSNP_Plans$947
Highmark_Wholecare_Gateway_Medicare | All_Plans$970
Health_Partners_Medicaid | All_Plans$970
Jefferson_Health_Medicare_Advantage | All_Plans$974
PA_Health_&_Wellness_Medicare | All_Plans$974
Geisinger_Medicaid | All_Plans$1,007
PA_Health_&_Wellness_Medicaid | All_Plans$1,009
UPMC | UPMC_For_Kids$1,009
Highmark_Wholecare_Gateway_Medicaid | All_Plans$1,010
Highmark | Higmark_Healthy_Kids$1,353
United_Medicaid | Community_Plan_For_Kids$1,578
Geisinger | All_Plans$2,945
Blue_Cross | Capital_Cares_4_kids$3,053
Performance_Blue | Blue_Cross_High_Performance_Network$3,463
Highmark | All_Other_Plans$3,847
UPMC | All_Plans$4,237
Blue_Cross | All_Other_Plans$4,362
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All common services at WellSpan Evangelical Community Hospital