Upper GI endoscopy with biopsy at WellSpan Waynesboro Hospital. CPT 43239.
What WellSpan Waynesboro Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$295–$17,846range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $295 |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $295 |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $970 |
| Geisinger_Medicaid | All_Plans | $970 |
| Health_Partners_Medicaid | All_Other_Plans | $970 |
| PA_Health_&_Wellness_Medicaid | All_Plans | $970 |
| UPMC_Medicaid | All_Plans | $970 |
| PA_Health_&_Wellness_Medicare | All_Plans | $998 |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $1,000 |
| Highmark | All_Other_Plans | $1,000 |
| Jefferson_Health_Medicare_Advantage | All_Plans | $1,000 |
| United_Medicaid | Community_Plan_For_Kids | $1,000 |
| Highmark_Medicare | All_Plans | $1,010 |
| Aetna_Advantra_Medicare | All_Plans | $1,030 |
| Aetna_Medicare | All_Plans | $1,030 |
| Devoted_Medicare | All_Plans | $1,050 |
| United_Medicare | ISNP_DSNP_Plans | $1,050 |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $1,054 |
| Amerihealth_Medicare | All_Plans | $1,055 |
| Amerihealth_Caritas_Medicaid | All_Plans | $1,102 |
| Geisinger_Gold_Medicare | All_Plans | $1,250 |
| Highmark | Higmark_Healthy_Kids | $1,529 |
| Health_Partners_Medicaid | Kidz_Partners | $1,649 |
| WellSpan_Capital_Blue_Cross | All_Plans | $1,955 |
| Blue_Cross | Capital_Blue_Performance_PPO | $2,685 |
| Highmark | My_Direct_Blue | $3,372 |
| Highmark | Shared_Cost_Blue_PPO | $3,372 |
| Aetna_Better_Health_Kids | All_Plans | $3,399 |
| Blue_Cross | Capital_Cares_4_kids | $3,566 |
| Blue_Cross | All_Other_Plans | $3,566 |
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