Upper GI endoscopy with biopsy at Intermountain Health Spanish Fork Hospital. CPT 43239.
What Intermountain Health Spanish Fork Hospital publishes for this service, straight from its standard-charges file, last updated August 5, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$54.00–$2,065range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Adv HMO | $361 |
| Aetna | Medicare Adv PPO | $361 |
| American Health | Medicare Adv UT HMO I-SNP | $361 |
| Health Partners of Nevada | Medicare Advantage | $361 |
| Health Plan of Nevada | Medicaid | $361 |
| Healthy U | Medicaid | $361 |
| Humana | Medicare Choice PPO | $361 |
| Molina | Medicare Advantage | $361 |
| Molina | Medicare Complete Care HMO SNP | $361 |
| Regence BCBS | MedAdvantage PPO | $361 |
| SelectHealth | Med Individual ACA | $361 |
| SelectHealth | Medicaid | $361 |
| SelectHealth | Medicare Advantage | $361 |
| SelectHealth | Signature Individual ACA | $361 |
| SelectHealth | Value Individual ACA | $361 |
| UHC | Medicare Advantage | $361 |
| TriWest | Veterans Choice | $899 |
| Intermountain Caregiver Plan | CHP | $1,580 |
| Intermountain Caregiver Plan | Med Network | $1,580 |
| Intermountain Caregiver Plan | Share Network | $1,823 |
| SelectHealth | FEHBP | $1,823 |
| SelectHealth | SelectShare | $1,823 |
| SelectHealth | SelectValue | $1,823 |
| AWH Connected | Connected Utah | $1,930 |
| BYU Athletics | Commercial | $1,930 |
| Campbell Scientific | Commercial | $1,930 |
| Deseret Mutual | Commercial | $1,930 |
| Deseret Mutual | Connected Utah | $1,930 |
| EMI Health | Mint | $1,930 |
| EMI Health | Network Care | $1,930 |
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All common services at Intermountain Health Spanish Fork Hospital