Upper GI endoscopy with biopsy at Summit Pacific Medical Center. CPT 43239.
What Summit Pacific Medical Center publishes for this service, straight from its standard-charges file, last updated August 31, 2026.
Outpatient / ER
$577cash price (self-pay)
$1,068list price
$124–$397range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Chpw Mcr Adv | Chpw Mcr Adv | $124 |
| Triwest - All Plans | Triwest - All Plans | $124 |
| Regence Bs Mcr Adv - All Plans | Regence Bs Mcr Adv - All Plans | $127 |
| Wellcare Mcr Adv - All Plans | Wellcare Mcr Adv - All Plans | $132 |
| UHC All Payer - All Plans | UHC All Payer - All Plans | $172 |
| Chpw Basic Hp | Chpw Basic Hp | $220 |
| Chpw Chip | Chpw Chip | $220 |
| Chpw Healthy Options | Chpw Healthy Options | $220 |
| Amerigroup Mcaid - All Plans | Amerigroup Mcaid - All Plans | $242 |
| Chpw Pebb - All Other Plans | Chpw Pebb - All Other Plans | $397 |
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