Upper GI endoscopy with biopsy at Lonesome Pine Hospital. CPT 43239.
What Lonesome Pine Hospital publishes for this service, straight from its standard-charges file, last updated March 23, 2026.
Outpatient / ER
$385cash price (self-pay)
$2,564list price
$106–$2,564range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Tenncare United Healthcare | $106 |
| Blue Cross | Blue Cross Ballad Health Employee | $311 |
| United Healthcare | UHC Heritage Select | $471 |
| United Healthcare | UHC Heritage River Valley | $491 |
| Sentara Health | Sentara Health | $649 |
| United Healthcare | United Healthcare | $847 |
| Aetna | Aetna Healthcare Medicare | $885 |
| Allcare Medicare | Allcare Medicare | $885 |
| Amerigroup | Amerigroup Medicare Wellpoint | $885 |
| Humana | Humana Medicare | $885 |
| Managed Medicaire | Managed Medicaire | $885 |
| Sentara Health | Sentara Medicare | $885 |
| United Healthcare | United Healthcare Medicare | $885 |
| United Mine Workers Of America | United Mine Workers Of America | $885 |
| Aetna | Aetna Better Health Of Virginia Medicare | $911 |
| Blue Cross | Anthem Medicare Virginia | $911 |
| Blue Cross | Blue Cross Medicare | $920 |
| Cigna Healthcare | Cigna Medicare | $929 |
| Devoted Health Plan | Devoted Health Plan Medicare | $929 |
| Molina Healthcare | Molina Healthcare Medicare | $929 |
| Mountain Empire Pace | Mountain Empire Pace | $929 |
| Nhc Advantage | Nhc Advantage | $929 |
| Wellcare | Wellcare Medicare | $938 |
| Aetna | Aetna | $1,095 |
| Medcost | Medcost Vhn | $1,220 |
| Blue Cross | Anthem Hlthkeep Mediciad | $1,316 |
| United Healthcare | United Healthcare Medicaid Virginia | $1,316 |
| Optima Health | Optima Health Medicaid | $1,318 |
| Aetna | Aetna Better Health Of Virginia | $1,329 |
| Molina Healthcare | Molina Healthcare Medicaid | $1,342 |
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