Upper GI endoscopy with biopsy at Intermountain Health Garfield Memorial Hospital. CPT 43239.
What Intermountain Health Garfield Memorial Hospital publishes for this service, straight from its standard-charges file, last updated August 5, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$90.00–$1,930range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Aetna Medicare HMO | $247 |
| Aetna | Aetna Medicare PPO | $247 |
| Health Choice Utah | Health Choice Utah-Medicaid | $247 |
| Healthy U | Medicaid | $247 |
| Medicare Intermountain Healthcare Nevada | Medicare Intermountain Heal | $247 |
| Molina Healthcare of Utah | Molina Healthcare Medicaid HMO | $247 |
| Molina Healthcare of Utah | Molina Medicare Complete Care HMO SNP | $247 |
| Molina | Medicaid | $247 |
| SelectHealth | Medicaid | $247 |
| SelectHealth | Medicare Advantage | $247 |
| SelectHealth | SelectHealth Community Care-Medicaid | $247 |
| TriWest | Veterans Choice | $247 |
| UofU | Healthy U - Medicaid | $247 |
| SelectHealth | SelectHealth Signature Network Individual Plan (ACA) | $1,787 |
| Aetna | Aetna Standard Network AKA Aetna Health Plan Network for Utah | $1,930 |
| Aetna | Aetna Utah Connected Network | $1,930 |
| Aetna | Aetna Whole Health Connected Utah Network | $1,930 |
| BYU Athletic Department | Athletic Services | $1,930 |
| Campbell Scientific | Samera Health | $1,930 |
| Cigna Healthcare | CIGNA Managed Care (HMO or Open Access Plus aka OAP | $1,930 |
| Cigna | PPO/EPO | $1,930 |
| Deseret Mutual | DMBA | $1,930 |
| EMI Health | EMI Health | $1,930 |
| EMI Health | EMI Health Choice | $1,930 |
| EMI Health | EMI Health Network Care | $1,930 |
| EMI Health | Mint | $1,930 |
| Franklin County | Samera Health | $1,930 |
| Health Utah | MotivHealth Health Utah | $1,930 |
| Juniper Systems | Samera Health | $1,930 |
| LW Miller | Samera Health | $1,930 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.
All common services at Intermountain Health Garfield Memorial Hospital