Upper GI endoscopy with biopsy at Lewisgale Hospital-montgomery. CPT 43239.
What Lewisgale Hospital-montgomery publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$1,995–$7,742range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Universal Healthcare Group | MCR | $1,995 |
| Lifeworks | MCR | $2,550 |
| Anthem | HIX | $2,628 |
| Anthem | HMO | $2,921 |
| Anthem | PPO | $2,921 |
| Sentara Optima Health | HMO | $5,051 |
| Sentara Optima Health | POS | $5,051 |
| Sentara Optima Health | PPO | $5,051 |
| United | AllPayerAppendix | $7,742 |
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