Upper GI endoscopy with biopsy at Ascension Saint Thomas River Park. CPT 43239.
What Ascension Saint Thomas River Park publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$1,093cash price (self-pay)
$3,644list price
$373–$2,984range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Community Plan | 1351_rptn Medicaid Replacement United Health Care Com | $373 |
| Point Comfort Underwriters | 2946_medicare Advantage Point Comfort Und | $796 |
| Amerigroup Mcaid Replacement | 2938_rptn Medicaid Replacement Amerigro | $823 |
| Americhoice Medicare | 2955_rptn Americhoice Medicare Outpatient 20250 | $885 |
| Amerigroup Mcr Replacement | 2958_rptn Rhtn Thtn Sdtn Medicare Advanta | $885 |
| Ascension Complete | 2940_ascension Complete Medicare Advantage Outpat | $885 |
| BCBS Bluecare Plus | 2953_rhtn Rptn Sdtn Thtn Medicare Advantage Blue | $885 |
| Centurion Of Tn | 2942_medicare Advantage Centurion Of Tn Outpatient 2 | $885 |
| Clover Medicare Advantage | 2943_medicare Advantage Clover Outpatient | $885 |
| Healthspring Mcr Replacement | 2944_medicare Advantage Healthspring Ou | $885 |
| Humana Mcr Replacement | 2957_rptn Medicare Advantage Humana Outpatien | $885 |
| Nhc Advantage | 2948_mttn Rhtn Rptn Sdtn Sttn Medicare Advantage Nhc A | $885 |
| Optum Va | 2935_medicare Advantage Optum Va Outpatient 20250101 | $885 |
| UHC Mcr Replacement | 2951_mttn Sttn Rptn Medicare Advantage UHC Outpa | $885 |
| Aetna Medadvantage | 2956_rhtn Rptn Sdtn Thtn Mttn Sttn Medicare Advan | $903 |
| BCBS Mcr Replacement | 2941_medicare Advantage Blue Cross Blue Shield | $929 |
| Ambetter Of Tn | 2933_ambetter Of Tn Outpatient 20250101 | $1,150 |
| Cigna Localplus | 3193_cigna Localplus (Dekalb) 20250601 | $1,185 |
| Cigna Localplus | 3192_rhtn Cigna Localplus 20250601 | $1,197 |
| Oscar Health | 500_oscar Health (River Park) Op 20180101 | $1,239 |
| Smart Health | 2936_mttn, Rptn, Rhtn, Sdtn, Thtn Ascension Smart Healt | $1,239 |
| Cigna PPO | 3199_cigna PPO (Dekalb) 20250601 | $1,239 |
| Cigna HMO | 3196_cigna HMO (Dekalb) 20250601 | $1,247 |
| Cigna Localplus | 3187_sttn Cigna Localplus 20250601 | $2,984 |
Inpatient
—cash price (self-pay)
—list price
$796–$1,239range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Point Comfort Underwriters | 3224_mttn Rhtn Rptn Sdtn Sttn Medicare Ad | $796 |
| Americhoice Medicare | 3206_rhtn, Rptn, Sdtn, Thtn Americhoice Medicar | $885 |
| Amerigroup Mcr Replacement | 3213_rptn Rhtn Thtn Sdtn Medicare Advanta | $885 |
| Ascension Complete | 3229_ascension Complete Medicare Advantage Inpati | $885 |
| BCBS Bluecare Plus | 3216_rhtn Rptn Sdtn Thtn Medicare Advantage Blue | $885 |
| Centurion Of Tn | 3228_medicare Advantage Centurion Of Tn Inpatient 20 | $885 |
| Clover Medicare Advantage | 3227_medicare Advantage Clover Inpatient 2 | $885 |
| Covid Uninsured Test Fund | 3202_covid Uninsured Test Fund Inpatient 2 | $885 |
| Healthspring Mcr Replacement | 3219_mttn Sttn Rptn Sdtn Rhtn Medicare | $885 |
| Humana Mcr Replacement | 3215_rptn Medicare Advantage Humana Inpatient | $885 |
| Nhc Advantage | 3225_mttn Rhtn Rptn Sdtn Sttn Medicare Advantage Nhc A | $885 |
| Optum Va | 3205_medicare Advantage Optum Va Inpatient 20251001 | $885 |
| UHC Mcr Replacement | 3226_medicare Advantage UHC Inpatient 20251001 | $885 |
| Aetna Medadvantage | 3214_rptn Rhtn Sdtn Thtn Mttn Sttn Medicare Advan | $903 |
| BCBS Mcr Replacement | 3238_thtn Medicare Advantage Blue Cross Blue Sh | $929 |
| Ambetter Of Tn | 3236_ambetter Of Tn Inpatient 20251001 | $1,150 |
| Smart Health | 3237_mttn, Rptn, Rhtn, Sdtn, Thtn Ascension Smart Healt | $1,239 |
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