Upper GI endoscopy with biopsy at Methodist Le Bonheur Germantown Hospital. CPT 43239.
What Methodist Le Bonheur Germantown Hospital publishes for this service, straight from its standard-charges file, last updated March 19, 2026.
Outpatient / ER
$941cash price (self-pay)
$8,417list price
$297–$3,463range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Ar - Medicaid [300005] | Hb Medicaid-Ar Contract | $297 |
| TRANSPLANT BCBS TENNCARE SELECT [350032] | HB MEDICAID TN - BCBS TennC | $588 |
| Molina Healthcare [350012] | Hb Molina Hc Of Ms - Mscan Mlh-Tn Contrac | $672 |
| MS - MEDICAID [300025] | HB MEDICAID MS - TN Locations | $672 |
| MS - MEDICAID [300025] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - TN Loc | $672 |
| Ms - Medicaid [300025] | Hb Molina Hc Of Ms - Mscan Mlh-Tn Contract | $672 |
| Magnolia Medicaid [350020] | Hb Medicaid Ms - Magnolia Healthcare - Tn | $672 |
| MS MEDICAID TrueCare [350022] | HB MEDICAID MS - TN Locations | $672 |
| Wellpoint Medicaid [350002] | Hb Amerigroup-Wellpoint Tn Adult Contrac | $688 |
| Tricare [600001] | Hb Tricare - Tn Contract | $811 |
| Molina Healthcare [350012] | Hb Molina Mschips - Mlh-Tn Contract | $840 |
| Humana Medicare Advantage [450013] | Hb Medicare Advantage / Managed C | $859 |
| Optum Medicare Advantage [450112] | Hb Medicare Advantage / Managed CA | $859 |
| Healthy Mississippi - Medicare Advantage HMO [450114] | Hb Medicare Ad | $859 |
| Healthsprings Medicare Advantage [450007] | Hb Medicare Advantage / MA | $859 |
| Alt BCBS MS Medicare [450116] | HB MEDICARE ADVANTAGE / MANAGED CARE - | $859 |
| Medicare Priority Health [450072] | Hb Medicare Advantage / Managed CA | $859 |
| Va Ccn UHC [600003] | Hb Va - Tn Contract | $859 |
| Shared Health Of Ms - Medicare Advantage [450074] | Hb Medicare Advant | $859 |
| Medicare [400001] | Hb Medicare-Tn Contract | $859 |
| United Healthcare Medicare [450021] | Hb Medicare Advantage / Managed | $859 |
| Medipak Advantage - BCBS Ar [450040] | Hb Medicare Advantage / Managed | $859 |
| Wellcare Medicare [450023] | Hb Medicare Advantage Wellcare/Wellpoint | $859 |
| Devoted Health [450111] | Hb Medicare Advantage Devoted - Tn Contract | $884 |
| CIGNA [100009] | HB CIGNA HMO - Germantown-North-South-Olive Branch-Ca | $1,273 |
| UNITED HEALTHCARE [100060] | HB XR TN UHC Exchange | $1,356 |
| CIGNA [100009] | HB CIGNA IFP - Germantown-North-South-Olive Branch-Ca | $1,397 |
| CIGNA [100009] | HB CIGNA LocalPlus - Germantown-North-South-Olive Br | $1,474 |
| Cigna [100009] | Hb Cigna EPO Adult Locations | $1,560 |
| CIGNA [100009] | HB Cigna OAP - Germantown-North-South-Olive Branch-C | $1,629 |
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All common services at Methodist Le Bonheur Germantown Hospital