Upper GI endoscopy with biopsy at University of Vermont Medical Center. CPT 43239.
What University of Vermont Medical Center publishes for this service, straight from its standard-charges file, last updated April 28, 2026.
Outpatient / ER
$1,570cash price (self-pay)
$1,570list price
$109–$4,125range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| MVP | Essential Plans | $109 |
| MVP | Managed Medicaid | $109 |
| Fidelis Care | Essential Plans | $147 |
| Fidelis Care | Managed Medicaid | $147 |
| United Healthcare Empire Plan | Commercial PPO for NY State Employees | $254 |
| United Healthcare | Managed Medicaid/Essential Plans | $538 |
| Excellus BlueCross BlueShield | Medicare Advantage | $655 |
| Aetna | Medicare Advantage | $945 |
| Capital District Physicians' Health Plan | Medicare Advantage | $945 |
| Humana Military | TRICARE | $945 |
| St. Regis | HMO | $945 |
| United Healthcare | Medicare Advantage | $945 |
| Veterans Affairs Community Care Network | Veterans Administration | $945 |
| BlueCross BlueShield Vermont | Medicare Advantage | $964 |
| Martins Point | TRICARE Prime/Department of Defense | $968 |
| MVP | Medicare Advantage | $968 |
| Fidelis Care | Medicare Advantage | $1,039 |
| Excellus BlueCross BlueShield | Managed Medicaid/Essential Plans | $1,157 |
| Capital District Physicians' Health Plan | Managed Medicaid/Essential | $1,223 |
| Wellpath | FCI Ray Brook | $1,417 |
| Wellpath | Correctional Healthcare | $1,584 |
| Capital District Physicians' Health Plan | Commercial | $1,916 |
| Empire BlueCross BlueShield | HMO | $2,229 |
| Harvard Pilgrim | Commercial | $2,304 |
| MagnaCare | Commercial | $2,304 |
| EBPA | ERISA Welfare Plans | $2,406 |
| Excellus BlueCross BlueShield | Commercial | $2,430 |
| Coventry | Commercial | $2,448 |
| NPPN | Commercial | $2,592 |
| Cigna | Commercial | $2,737 |
Inpatient
$4,190cash price (self-pay)
$4,190list price
$1,173–$3,771range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana Military | TRICARE | $1,173 |
| Excellus BlueCross BlueShield | Managed Medicaid/Essential Plans | $2,011 |
| Capital District Physicians' Health Plan | Managed Medicaid/Essential | $2,095 |
| Wellpath | Correctional Healthcare | $2,305 |
| Excellus BlueCross BlueShield | Commercial | $3,132 |
| Empire BlueCross BlueShield | HMO | $3,268 |
| Harvard Pilgrim | Commercial | $3,352 |
| MagnaCare | Commercial | $3,352 |
| Coventry | Commercial | $3,562 |
| EBPA | ERISA Welfare Plans | $3,603 |
| Cigna | Behavioral Health | $3,771 |
| NPPN | Commercial | $3,771 |
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