Upper GI endoscopy with biopsy at Sentara Northern Virginia Medical Center. CPT 43239.
What Sentara Northern Virginia Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$903–$3,790range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Managed Care Plan | $903 |
| Humana | Medicare Managed Care Plan | $911 |
| Bcbs | Anthem Medicare Managed Care Plan | $927 |
| Unitedhealthcare | Dsnp Medicare Managed Care Plan | $929 |
| Carefirst | Hmo | $1,723 |
| Bcbs | Anthem Exchange | $1,820 |
| Bcbs | Anthem Hmo | $1,957 |
| Carefirst | Ppo | $1,981 |
| Bcbs | Anthem Ppo | $2,091 |
| Unitedhealthcare | All Commercial Plans | $2,464 |
| Cigna | Connect Exchange | $3,486 |
| Cigna | Ppo/Pos | $3,790 |
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All common services at Sentara Northern Virginia Medical Center