Upper GI endoscopy with biopsy at USMD Hospital at Arlington LLC. CPT 43239.
What USMD Hospital at Arlington LLC publishes for this service, straight from its standard-charges file, last updated July 13, 2026.
Outpatient / ER
$5,789cash price (self-pay)
$10,526list price
$734–$7,426range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | Blue Cross Marketplace | $830 |
| Blue Cross | Blue Cross HMO | $1,696 |
| Blue Cross | Blue Cross PPO | $1,885 |
| United Healthcare | United Healthcare HMO | $2,761 |
| United Healthcare | United Healthcare PPO | $2,761 |
| United Healthcare | United Healthcare Option | $3,607 |
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