Upper GI endoscopy with biopsy at UVA Health Prince William Medical Center. CPT 43239.
What UVA Health Prince William Medical Center publishes for this service, straight from its standard-charges file, last updated March 24, 2026.
Outpatient / ER
$1,663cash price (self-pay)
$3,326list price
$135–$3,877range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| TRICARE [50001] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $135 |
| CHAMPVA [50002] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $135 |
| ANTHEM MEDICARE [10503] | UVAPW - Managed Medicare (various) | $938 |
| CIGNA HEALTHSPRING MEDICARE [10519] | UVAPW - Managed Medicare (variou | $938 |
| KAISER PERMANENTE MEDICARE [10513] | UVAPW - Managed Medicare (Kaiser) | $938 |
| LIFEWORKS MEDICARE [10515] | UVAPW - Managed Medicare (various) | $938 |
| MEDICARE REPLACEMENT GENERIC [10500] | UVAPW - Managed Medicare (vario | $938 |
| VA CCN [99926] | UVAPW - Managed Medicare (various) | $938 |
| VA CCN [99927] | UVAPW - Managed Medicare (various) | $938 |
| SENTARA MEDICARE [10506] | UVAPW - Managed Medicare (various) | $938 |
| UNITED HEALTHCARE MEDICARE [10507] | UVAPW - Managed Medicare (various | $938 |
| VETERANS ADMINISTRATION [99910] | UVAPW - Managed Medicare (various) | $938 |
| VIRGINIA PREMIER MEDICARE [10508] | UVAPW - Managed Medicare (various) | $938 |
| AETNA MEDICARE [10501] | UVAPW - Managed Medicare - Aetna | $948 |
| HUMANA MEDICARE [10505] | UVAPW - Managed Medicare (Humana) | $957 |
| HUMANA TRANSPLANT [40054] | UVAPW - Managed Medicare (Humana) | $957 |
| AETNA [40002] | UVAPW & UVAHM - Aetna | $1,577 |
| United Healthcare [40032] | United Exchange Plan [4003231] | $1,719 |
| GEHA [40009] | UVAPW & UVAHM - United (All Payer) | $1,911 |
| UNITED HEALTHCARE [40032] | UVAPW & UVAHM - United (All Payer) | $1,911 |
| ANTHEM [30001] | UVAPW - Anthem Exchange | $2,031 |
| Cigna [40005] | Cigna 188061 Connect [4000513] | $2,092 |
| CIGNA [40005] | UVAPW & UVAHM - Cigna (IFP) | $2,092 |
| UNITED HEALTHCARE [40032] | UVAPW & UVAHM - United (Options PPO) | $2,373 |
| Multiplan Generic [40035] | Multiplan Generic [4003501] | $2,528 |
| Vhn Generic [40040] | Medcost/Phcs Virginia Generic [4004001] | $2,528 |
| VHN GENERIC [40040] | UVAPW & UVAHM - Misc. (PHCS) | $2,528 |
| CIGNA [40005] | UVAPW - Evernorth (Cigna BH) | $2,661 |
| UNITED HEALTHCARE [40032] | UVAPW - Anthem (PPO PAR HMO) | $2,902 |
| ANTHEM [30001] | UVAPW - Anthem (PPO PAR HMO) | $2,902 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.
All common services at UVA Health Prince William Medical Center