Price Checker / CPT 43239
How much does Upper endoscopy with biopsy cost?
CPT 43239 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is about 3.1x the fair price. You have grounds to ask for a reduction.
Fair price
$1,700–$2,000
What this should cost
With insurance
~$2,400
Typical out-of-pocket
Overcharged if over
$2,500
Push back above this
The average hospital charge of $5,687 is $3,837 over the fair price (about 3.1x the fair rate).
What hospitals charge for Upper endoscopy with biopsy
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Stony Brook Eastern Long Island Hospital , NY | $2,140 | — | 18054% |
| Beartooth Billings Clinic RED LODGE, MT | $23,729 | — | 5565% |
| Down East Community Hospital Machias, ME | $21,317 | — | 4557% |
| Hill Regional Hospital Hillsboro, TX | $14,375 | — | 2817% |
| Los Alamos Medical Center LOS ALAMOS, NY | $11,284 | — | 2594% |
| West Holt Memorial Hospital Atkinson, NE | $10,099 | — | 2215% |
| Kindred Hospital La Mirada La Mirada, CA | $9,372 | — | 2138% |
| Kindred Hospital San Gabriel Valley West Covina, CA | $9,372 | — | 2138% |
| Kindred Hospital Santa Ana Santa Ana, CA | $9,372 | — | 2138% |
| Bourbon Community Hospital PARIS, KY | $8,645 | — | 1964% |
| Community Medical Center Falls City, NE | $8,626 | — | 1898% |
| Kearney County Hospital , NE | $6,824 | $5,459 | 1529% |
| Kindred Hospital Las Vegas - Flamingo Las Vegas, NV | $5,923 | — | 1314% |
| Kindred Hospital Las Vegas - Sahara Las Vegas, NV | $5,923 | — | 1314% |
| Solara Specialty Hospital Mcallen Mc Allen, TX | $5,794 | — | 1283% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Upper endoscopy with biopsy
CPT code 43239 refers to upper endoscopy with biopsy (billing description: "Egd biopsy single/multiple"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $124 in a facility (hospital or surgery center) and $419 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.