Upper GI endoscopy with biopsy at Mercy Hospital Northwest Arkansas. CPT 43239.
What Mercy Hospital Northwest Arkansas publishes for this service, straight from its standard-charges file, last updated June 8, 2026.
Outpatient / ER
$3,501cash price (self-pay)
$5,387list price
$112–$1,575range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Medicare Advantage [20047] | Hb Rogr Managed Medicare | $830 |
| Unicare Medicare [20384] | Hb Rogr Managed Medicare | $830 |
| Tricare [20380] | Hb Rogr Tricare | $830 |
| University Pittsburgh Med Ctr Medicare [20407] | Hb Rogr Managed Medic | $830 |
| Windsor Medicare [20424] | Hb Rogr Managed Medicare | $830 |
| Medicare [20244] | Hb Rogr Medicare | $830 |
| Mercy Hospice Okc [20252] | Hb Rogr Managed Medicare | $830 |
| Mental Health Network Medicare [20250] | Hb Rogr Managed Medicare | $830 |
| Cross Timbers Hospice [20098] | Hb Rogr Managed Medicare | $830 |
| Generic Medicare Managed Care [20137] | Hb Rogr Managed Medicare | $830 |
| Health First Health Plans Medicare [20170] | Hb Rogr Managed Medicare | $830 |
| Independent Health [20197] | Hb Rogr Managed Medicare | $830 |
| Horizons Medicare [20190] | Hb Rogr Managed Medicare | $830 |
| American Health Advantage Of Mo Mcr [20264] | Hb Rogr Managed Medicare | $830 |
| Jordan Valley Senior Care Pace [20515] | Hb Rogr Managed Medicare | $830 |
| Pace Of The Ozarks [20518] | Hb Rogr Managed Medicare | $830 |
| BCBS Medicare Advantage Contracted [320047] | Hb Rogr Managed Medicare | $830 |
| Aetna Medicare Advantage Contracted [320010] | Hb Rogr Managed Medicar | $830 |
| Medical Associates Health [20444] | Hb Rogr Managed Medicare | $830 |
| Wellfirst Health Mcr [20443] | Hb Rogr Managed Medicare | $830 |
| Kindful Hospice [20434] | Hb Rogr Managed Medicare | $830 |
| Elara Caring Aspire Hospice [20433] | Hb Rogr Managed Medicare | $830 |
| Halo Hcr Inc Hospice [20432] | Hb Rogr Managed Medicare | $830 |
| Tribute Health Plan Mcr [20338] | Hb Rogr Managed Medicare | $830 |
| Spina Bifida Hlthcare Benefit [20506] | Hb Rogr Managed Medicare | $830 |
| Valir Pace [20503] | Hb Rogr Managed Medicare | $830 |
| Cigna Medicare Advantage Contracted [320072] | Hb Rogr Managed Medicar | $830 |
| Dept Of Veteran Affairs Contracted [320106] | Hb Rogr Medicare | $830 |
| Cherokee Nation Health Serv Contracted [320066] | Hb Rogr Medicare | $830 |
| Globalhealth Contracted [320145] | Hb Rogr Managed Medicare | $830 |
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