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Upper GI endoscopy with biopsy at Forks Community Hospital. CPT 43239.

What Forks Community Hospital publishes for this service, straight from its standard-charges file, last updated July 9, 2026.

Outpatient / ER

$3,886cash price (self-pay)
$4,857list price
$318–$7,082range insurers pay
Insurance planNegotiated rate
Molina Medicare | Molina Medicare$318
Molina Medicaid | Molina Medicaid$1,680
Regence Medicaid | Regence Medicaid$1,680
Amerigroup Medicaid-All Plans | Amerigroup Medicaid-All Plans$1,780
Coordinated Care (Mco) Mcd-All Plans | Coordinated Care (Mco) Mcd-All $1,814
UHC Medicaid | UHC Medicaid$2,162
Tricare-All Plans | Tricare-All Plans$2,186
Triwest-All Plans | Triwest-All Plans$2,186
UHC Mcr Adv | UHC Mcr Adv$2,186
Community Health Network Mcr-All Other Plans | Community Health Networ$2,186
Humana Mcr Adv - All Plans | Humana Mcr Adv - All Plans$2,186
Wellcare Med Adv - All Plans | Wellcare Med Adv - All Plans$2,535
Ambetter Ccwa Exch - All Plans | Ambetter Ccwa Exch - All Plans$2,535
Regence-All Other Plans | Regence-All Other Plans$2,797
Community Health Exchange | Community Health Exchange$3,157
UHC All Payer/Doctors Plan/Nexus-All Other Plans | UHC All Payer/Docto$4,128
Molina Commercial-All Other Plans | Molina Commercial-All Other Plans$4,468
Premera Blue Cross-All Plans | Premera Blue Cross-All Plans$4,614
First Choice-All Plans | First Choice-All Plans$4,857
Aetna-All Plans | Aetna-All Plans$4,857
Cigna-All Plans | Cigna-All Plans$4,857
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All common services at Forks Community Hospital