Upper GI endoscopy with biopsy at UVA Health Medical Center. CPT 43239.
What UVA Health Medical Center publishes for this service, straight from its standard-charges file, last updated March 24, 2026.
Outpatient / ER
$1,553cash price (self-pay)
$2,588list price
$138–$6,128range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHAMPVA [50002] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $138 |
| TRICARE [50001] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $138 |
| BLUE RIDGE PACE [10510] | UVAMC - Managed Medicare (Innovage) | $819 |
| BLUE RIDGE PACE MEDICAID [20513] | UVAMC - Managed Medicare (Innovage) | $819 |
| AETNA IOE MEDICARE [10511] | UVAMC - Managed Medicare (various) | $910 |
| AETNA MEDICARE [10501] | UVAMC - Managed Medicare (various) | $910 |
| HMO PART B [10099] | UVAMC - Managed Medicare (various) | $910 |
| KAISER PERMANENTE MEDICARE [10513] | UVAMC - Managed Medicare (various | $910 |
| UNITED HEALTHCARE MEDICARE [10507] | UVAMC - Managed Medicare (various | $910 |
| Va Ccn [99926] | Uvamc - Vaccn | $910 |
| ANTHEM MEDICARE [10503] | UVAMC - Managed Medicare (various) | $910 |
| CIGNA HEALTHSPRING MEDICARE [10519] | UVAMC - Managed Medicare (variou | $910 |
| HUMANA MEDICARE [10505] | UVAMC - Managed Medicare (various) | $910 |
| MEDICARE REPLACEMENT NONPAR GENERIC [10516] | UVAMC - Managed Medicare | $910 |
| Va Ccn [99927] | Uvamc - Vaccn | $910 |
| LIFEWORKS MEDICARE [10515] | UVAMC - Managed Medicare (various) | $910 |
| MEDICARE REPLACEMENT GENERIC [10500] | UVAMC - Managed Medicare (vario | $910 |
| MOLINA COMPLETE CARE MEDICARE [10517] | UVAMC - Managed Medicare (vari | $910 |
| OPTUM MEDICARE [10512] | UVAMC - Managed Medicare (various) | $910 |
| SENTARA MEDICARE [10506] | UVAMC - Managed Medicare (various) | $910 |
| UHC OPTUM MEDICARE [10521] | UVAMC - Managed Medicare (various) | $910 |
| VIRGINIA PREMIER MEDICARE [10508] | UVAMC - Managed Medicare (various) | $910 |
| AETNA [40002] | UVAMC - Aetna (Comm. Book of Business) | $1,088 |
| BEACON HEALTH OPTIONS [40012] | UVAMC - Misc. (Beacon BH) | $1,294 |
| COMMERCIAL CONTRACTED HB ONLY [40056] | UVAMC - Valley Health | $1,359 |
| AETNA [40002] | UVAMC - Aetna (IFP) | $1,672 |
| AETNA [40002] | UVAMC - Aetna Small Business | $1,814 |
| AETNA MERITAIN SMALL BUSINESS [40061] | UVAMC - Aetna Small Business | $1,814 |
| AETNA [40002] | UVAMC - Aetna UVA Preferred | $1,814 |
| ANTHEM [30001] | UVAMC - Anthem Exchange | $2,052 |
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