Upper GI endoscopy with biopsy at Jefferson Memorial Hospital. CPT 43239.
What Jefferson Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$3,295cash price (self-pay)
$14,891list price
$325–$14,891range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Veterans Eval Services | Veterans Eval Services | $325 |
| Amerigroup | Amerigroup Community Care | $543 |
| TN Medicaid Non-Par | TN Medicaid Non-Par | $644 |
| United Healthcare | UHC Community Plan | $644 |
| BlueCare | BCBS TN TennCare Select | $663 |
| BlueCare | BCBS TN CoverKids | $718 |
| NODE Tricare | NODE Tricare | $782 |
| Humana | NODE Humana MCR ADV | $810 |
| NODE Medicare Non Par | NODE Medicare Non Par | $810 |
| NODE Medicare Traditional | NODE Medicare Traditional | $810 |
| Node UHC Mcr Adv | Node UHC Mcr Adv | $810 |
| NODE ChampVA | NODE ChampVA | $823 |
| NODE BlueCare Plus TN MCR ADV | NODE BlueCare Plus TN MCR ADV | $823 |
| NODE Hospice Non Par Agree | NODE Hospice Non Par | $823 |
| NODE United Optum VA CCN | NODE United Optum VA CCN | $823 |
| Node Va | Node Va | $823 |
| NODE Devoted Health MCR ADV | NODE Devoted Health MCR ADV | $826 |
| NODE Farm Bureau MCR ADV | NODE Farm Bureau MCR ADV | $826 |
| NODE Aetna MCR ADV | NODE Aetna MCR ADV | $834 |
| Node BCBS Mcr Adv | Node BCBS Mcr Adv | $834 |
| NODE Healthspring MCR ADV | NODE Healthspring MCR ADV | $834 |
| NODE Amerigroup MCR ADV | NODE Amerigroup MCR ADV | $850 |
| United Healthcare | NODE UHC MCR Dual ADV | $850 |
| NODE Wellcare MCR ADV | NODE Wellcare MCR ADV | $856 |
| Node Nhc Mcr Adv | Node Nhc Mcr Adv | $891 |
| BlueCare | BCBS TN BlueCare | $988 |
| NODE US Dept of Labor | NODE US Dept of Labor | $1,029 |
| NovaNet Work Comp TN | NovaNet Work Comp TN | $1,392 |
| Occunet Work Comp TN | Occunet Work Comp TN | $1,406 |
| UHC | UHC HSA | $1,451 |
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