Upper GI endoscopy with biopsy at Cache Valley Hospital. CPT 43239.
What Cache Valley 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–$5,957range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| University of UT | MCR | $850 |
| Regence | FocalPointPlus | $1,057 |
| Regence | FocalPoint | $1,172 |
| Bright Health | HIX | $1,184 |
| Regence | Individual | $1,395 |
| Regence | Preferred | $1,395 |
| Regence | RealValue | $1,395 |
| Regence | Participating | $1,717 |
| Regence | Traditional | $1,717 |
| PEHP | Exclusive | $2,627 |
| PEHP | Summit | $2,908 |
| Aetna | PeakPreference | $3,462 |
| Cigna | IFPLP | $4,176 |
| Aetna | StandardNetwork | $4,537 |
| Cigna | OAPNBN | $4,718 |
| MotivHealth | COMM | $5,049 |
| MotivHealth | TPARental | $5,049 |
| Cigna | Exclusive | $5,423 |
| Aetna | AetnaSignatureAdministrators | $5,603 |
| Aetna | UtahConnectedNetwork | $5,753 |
| Imagine Health Wise | PPO | $5,957 |
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