Upper endoscopy with biopsy in Lewiston, ME: hospital prices
One hospital in the Lewiston-Auburn, ME metro area prices CPT 43239 in its files, but fewer than three list a cash price, so we show the rows without a ranking.
One hospital in the Lewiston-Auburn, ME metro area lists upper endoscopy with biopsy (CPT 43239) in its price file, but only as a list price or negotiated insurer rates, not as a cash price. Hospitals must publish a discounted cash price for every shoppable service; where it is missing you can still ask for one by phone.
Sorted by cash price
Hospital facility fee onlyLewiston · 5 mi · File Apr 2026
What's in the price
The hospital facility fee for CPT 43239. The doctor, anesthesia and lab work usually bill separately.
Cash vs. insured
Cash is what you pay without insurance. With insurance you pay a share of the negotiated rate, which can be higher than cash. You may ask for the cash price.
What to say on the phone
"I'd like the self-pay price for CPT 43239, in writing, and whether it covers facility, physician and anesthesia."
About upper endoscopy with biopsy
CPT 43239 is an upper endoscopy (EGD) in which tissue samples are taken from the esophagus, stomach or duodenum. It is the usual code when the exam is done to check for celiac disease, H. pylori, Barrett's esophagus or unexplained inflammation, since all of those need a sample to confirm.
What the price covers
The facility fee: the endoscopy room, nursing, the scope, biopsy forceps, sedation monitoring and recovery. Separately billed: the gastroenterologist, the anesthesia provider and the pathologist. Celiac work-ups often take four to six samples, so ask whether pathology is billed per specimen.
Related codes
- 43235: EGD, diagnostic, no biopsy
- 43239: EGD with biopsy (this page)
Hospitals typically price 43239 slightly above 43235. If only one is listed, it is a fair guide for the other.
Why prices vary
The spread within a metro area is usually several times. It tracks the hospital's overall pricing level, not the difficulty of the exam. Community hospitals and hospital-owned outpatient centers sit at the low end; academic medical centers at the high end.
Questions to ask
- What is the self-pay price for 43239 including pathology?
- How many samples are planned, and is pathology billed per sample?
- Who provides anesthesia, and what is their cash rate?
Hospitals in Lewiston, ME without a price for this procedure
Listed so you know who to call. The reason is what we found on their website.
- Central Maine Medical Centercode not in file