Upper GI endoscopy with biopsy at Gifford Medical Center. CPT 43239.
What Gifford Medical Center publishes for this service, straight from its standard-charges file, last updated February 12, 2026.
Outpatient / ER
$452cash price (self-pay)
$904list price
$128–$859range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of New Hampshire | Qualified Health Plan | $266 |
| MVP Health Care of NY | Medicare Advantage | $267 |
| United Healthcare | Medicare Advantage | $267 |
| United Healthcare | VA CCN | $267 |
| Blue Cross Blue Shield of Vermont | Medicare Advantage | $277 |
| Blue Cross Blue Shield of New Hampshire | SHOP On Exchange | $362 |
| Martins Point Health Care | Commercial | $379 |
| MVP Health Care of NY | Commercial | $475 |
| Cigna | Commercial | $479 |
| United Healthcare | Commercial | $528 |
| Harvard Pilgrim Health Care | HMO | $646 |
| Harvard Pilgrim Health Care | PPO | $646 |
| Blue Cross Blue Shield of Vermont | Vermont Health Plan | $695 |
| Blue Cross Blue Shield of Vermont | Managed Care | $702 |
| Blue Cross Blue Shield of Vermont | Commercial | $720 |
| Blue Cross Blue Shield of New Hampshire | Commercial | $810 |
| Blue Cross Blue Shield of New Hampshire | SHOP Off Exchange | $810 |
| Multiplan | Commercial | $841 |
| Aetna of VT | Commercial | $854 |
Inpatient
$452cash price (self-pay)
$904list price
$669–$859range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of New Hampshire | Commercial | $669 |
| Blue Cross Blue Shield of New Hampshire | SHOP Off Exchange | $669 |
| Blue Cross Blue Shield of Vermont | Vermont Health Plan | $723 |
| Cigna | Commercial | $723 |
| Harvard Pilgrim Health Care | HMO | $723 |
| Harvard Pilgrim Health Care | PPO | $723 |
| Blue Cross Blue Shield of Vermont | Managed Care | $759 |
| Blue Cross Blue Shield of Vermont | Commercial | $768 |
| MVP Health Care of NY | Commercial | $768 |
| Multiplan | Commercial | $841 |
| Aetna of VT | Commercial | $859 |
| United Healthcare | Commercial | $859 |
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