Upper GI endoscopy with biopsy at Brigham City Community Hospital. CPT 43239.
What Brigham City Community Hospital publishes for this service, straight from its standard-charges file, last updated October 1, 2024.
Outpatient / ER
—cash price (self-pay)
—list price
$850–$6,057range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| University of UT | MCR | $850 |
| Bright Health | HIX | $1,184 |
| Regence | FocalPointPlus | $1,304 |
| Regence | FocalPoint | $1,453 |
| Regence | Individual | $1,725 |
| Regence | Preferred | $1,725 |
| Regence | RealValue | $1,725 |
| Aetna | PeakPreference | $1,733 |
| Regence | Participating | $2,122 |
| Regence | Traditional | $2,122 |
| Aetna | StandardNetwork | $2,271 |
| PEHP | Exclusive | $2,313 |
| Sterling Life Insurance | MCR | $2,350 |
| Universal Healthcare | MCR | $2,350 |
| PEHP | Summit | $2,562 |
| Aetna | AetnaSignatureAdministrators | $2,805 |
| Aetna | UtahConnectedNetwork | $2,880 |
| Cigna | IFPLP | $4,176 |
| Cigna | OAPNBN | $4,718 |
| MotivHealth | COMM | $5,049 |
| MotivHealth | TPARental | $5,049 |
| Cigna | Exclusive | $5,423 |
| Imagine Health Wise | PPO | $6,057 |
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