Upper GI endoscopy with biopsy at Pelham Medical Center. CPT 43239.
What Pelham Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,738cash price (self-pay)
$4,564list price
$833–$6,917range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Bcbs | State Health Plan Other Commercial Plan | $833 |
| Humana | Medicare Managed Care Plan | $865 |
| Bcbs | Medicare Managed Care Plan | $871 |
| Devoted Health Plan | Medicare Managed Care Plan | $891 |
| Aetna | Medicare Managed Care Plan | $899 |
| Absolute Total Care | Medicare Managed Care Plan | $908 |
| Cigna | Healthspring Medicare Managed Care Plan | $925 |
| Bcbs | Blue Preferred Exchange | $1,205 |
| Bcbs | Bluechoice Exchange | $1,205 |
| Bcbs | Blue Preferred Ppo | $2,240 |
| Bcbs | Innovations Other Commercial Plan | $2,240 |
| Bcbs | Bluechoice Hmo | $3,064 |
| Unitedhealthcare | All Commercial Plans | $6,132 |
| Cigna | All Commercial Plans | $6,802 |
| Employer Health Network | All Commercial Plans | $6,917 |
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