Upper GI endoscopy with biopsy at Sentara Martha Jefferson Hospital. CPT 43239.
What Sentara Martha Jefferson Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$903–$3,276range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sentara Health Plan | Medicare Managed Care Plan | $903 |
| Humana | Medicare Managed Care Plan | $911 |
| Bcbs | Anthem Medicare Managed Care Plan | $927 |
| Aetna | Medicare Managed Care Plan | $929 |
| Cigna | Ppo/Pos | $1,571 |
| Aetna | All Commercial Plans | $2,670 |
| Bcbs | Anthem Exchange | $2,798 |
| Bcbs | Anthem Hmo | $3,009 |
| Bcbs | Anthem Ppo | $3,235 |
| Unitedhealthcare | All Commercial Plans | $3,276 |
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