Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
EGD BIOPSY SINGLE/MULTIPLE
Gig Harbor, WA
See all hospitals reporting CPT 43239 →Price type
Franciscan Health System’s median price of $1.6k is 38% above the median hospital's median price ($1.2k), higher than 64% of the 2,368 hospitals reporting CPT 43239. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 20 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Kaiser commercial|hmo fee schedule · outpatient | $906.41 | $906.41 | $906.41 – $906.41 |
| 2 | Kaiser commercial|ppo fee schedule · outpatient | $997.05 | $997.05 | $997.05 – $997.05 |
| 3 | Kaiser medicare|all plans case rate · outpatient | $1,063 | $1,063 | $1,063 – $1,063 |
| 4 | Optum medicare|all plans case rate · outpatient | $1,073 | $1,073 | $1,073 – $1,073 |
| 5 | Aetna medicare|all plans case rate · outpatient | $1,095 | $1,095 | $1,095 – $1,095 |
| 6 | Premera medicare|all plans case rate · outpatient | $1,095 | $1,095 | $1,095 – $1,095 |
| 7 | Regence medicare|all plans case rate · outpatient | $1,095 | $1,095 | $1,095 – $1,095 |
| 8 | Humana medicare|all plans case rate · outpatient | $1,137 | $1,137 | $1,137 – $1,137 |
| 9 | Molina medicare|all plans case rate · outpatient | $1,148 | $1,148 | $1,148 – $1,148 |
| 10 | UnitedHealthcare medicare|all plans case rate · outpatient | $1,148 | $1,148 | $1,148 – $1,148 |
| 11 | Molina commercial|marketplace exchange case rate · outpatient | $2,040 | $2,040 | $2,040 – $2,040 |
| 12 | Premera commercial|lifewise primary exchange case rate · outpatient | $2,098 | $2,098 | $2,098 – $2,098 |
| 13 | Regence commercial|all plans case rate · outpatient | $2,668 | $2,668 | $2,668 – $2,668 |
| 14 | Premera commercial|all other plans case rate · outpatient | $3,033 | $3,033 | $3,033 – $3,033 |
| 15 | UnitedHealthcare commercial|navigate case rate · outpatient | $3,353 | $3,353 | $3,353 – $3,353 |
| 16 | UnitedHealthcare commercial|all other plans case rate · outpatient | $3,530 | $3,530 | $3,530 – $3,530 |
| 17 | UnitedHealthcare commercial|cascade care case rate · outpatient | $3,530 | $3,530 | $3,530 – $3,530 |
| 18 | Aetna commercial|awh case rate · outpatient | $3,974 | $3,974 | $3,974 – $3,974 |
| 19 | Aetna commercial|all other plans case rate · outpatient | $4,676 | $4,676 | $4,676 – $4,676 |
| 20 | Cigna commercial|all plans case rate · outpatient | $5,920 | $5,920 | $5,920 – $5,920 |
Last updated: Feb 28, 2026
See Upper endoscopy with tissue sample pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.