Upper GI endoscopy with biopsy at Inova Loudoun Hospital. CPT 43239.
What Inova Loudoun Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,484cash price (self-pay)
$2,968list price
$938–$3,645range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| aetna | medicare advantage | $938 |
| anthem | medicare advantage | $938 |
| united | medicare advantage | $938 |
| sentara health | medicare advantage | $956 |
| cigna | medicare advantage | $975 |
| kaiser | medicare advantage | $975 |
| humana | medicare advantage | $1,031 |
| cigna | exchange | $1,356 |
| anthem | medicaid advantage | $1,446 |
| united | medicaid advantage | $1,475 |
| sentara health | medicaid advantage | $1,490 |
| humana | medicaid advantage | $1,504 |
| aetna | medicaid advantage | $1,519 |
| kaiser | medicaid advantage | $1,591 |
| sentara health | exchange | $1,847 |
| cigna | hmo | $1,917 |
| cigna | ppo | $1,917 |
| innovation | fully insured | $2,149 |
| anthem | exchange hmo | $2,190 |
| kaiser | hmo | $2,315 |
| kaiser | ppo | $2,315 |
| sentara health | hmo | $2,431 |
| sentara health | ppo | $2,431 |
| carefirst | hmo | $2,485 |
| carefirst | ppo | $2,510 |
| anthem | hmo | $2,525 |
| anthem | ppo | $2,525 |
| united | exchange | $2,539 |
| innovation | self insured | $2,589 |
| united | nonoptions | $2,857 |
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