Upper GI endoscopy with biopsy at Dickenson Community Hospital. CPT 43239.
What Dickenson Community Hospital publishes for this service, straight from its standard-charges file, last updated March 23, 2026.
Outpatient / ER
$377cash price (self-pay)
$1,641list price
$171–$1,900range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Tenncare United Healthcare | $171 |
| Blue Cross | Blue Cross Ballad Health Employee | $311 |
| United Healthcare | UHC Heritage Select | $398 |
| United Healthcare | UHC Heritage River Valley | $455 |
| Aetna | Aetna Healthcare Medicare | $492 |
| Allcare Medicare | Allcare Medicare | $492 |
| Amerigroup | Amerigroup Medicare Wellpoint | $492 |
| Blue Cross | Anthem Medicare Virginia | $492 |
| Managed Medicaire | Managed Medicaire | $492 |
| Sentara Health | Sentara Medicare | $492 |
| United Healthcare | United Healthcare Medicare | $492 |
| United Mine Workers Of America | United Mine Workers Of America | $492 |
| Humana | Humana Medicare | $500 |
| Aetna | Aetna Better Health Of Virginia Medicare | $507 |
| Molina Healthcare | Molina Healthcare Medicare | $512 |
| Cigna Healthcare | Cigna Medicare | $517 |
| Devoted Health Plan | Devoted Health Plan Medicare | $517 |
| Nhc Advantage | Nhc Advantage | $517 |
| Medcost | Medcost Vhn | $574 |
| United Healthcare | United Healthcare | $589 |
| Sentara Health | Sentara Health | $605 |
| Ambetter | Ambetter | $607 |
| Aetna | Aetna | $1,313 |
| Blue Cross | Anthem Exchange | $1,641 |
| Blue Cross | Anthem Hlthkeep Mediciad | $1,641 |
| Blue Cross | Anthem HMO | $1,641 |
| Blue Cross | Anthem PPO, Traditional Indemnity | $1,641 |
| Seven Corners, Inc. | Seven Corners, Inc. | $1,641 |
| United Healthcare | United Healthcare Medicaid Virginia | $1,641 |
| Optima Health | Optima Health Medicaid | $1,827 |
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