Upper GI endoscopy with biopsy at CHI Memorial Hospital Hixson. CPT 43239.
What CHI Memorial Hospital Hixson publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$167–$3,462range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS - TN | Commercial|Network S | $167 |
| BCBS - TN | Commercial|Network P | $217 |
| Amerigroup | Medicaid|All Plans | $448 |
| BCBS - ND | Medicare|All Plans | $873 |
| Cigna | Medicare|Healthspring | $882 |
| Humana | Medicare|HMO | $890 |
| Amerigroup | Medicare|All Plans | $899 |
| Humana | Medicare|All Other Plans | $924 |
| Humana | Medicare|PPO | $924 |
| BCBS - TN | Medicaid|BlueCare | $987 |
| United | Medicaid|TennCare | $1,024 |
| Centene | Commercial|Ambetter Exchange | $1,579 |
| Alliant Health | Commercial|All Plans | $1,679 |
| Cigna | Commercial|LocalPlus | $1,782 |
| Employers Health Network | Commercial|All Plans | $1,792 |
| Cigna | Commercial|Open Access | $2,194 |
| Humana | Commercial|All Plans | $2,204 |
| Health One Alliance | Commercial|All Plans | $2,360 |
| Multiplan | Commercial|All Plans | $2,470 |
| United | Commercial|Non-Options | $3,462 |
| United | Commercial|Options | $3,462 |
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