Upper GI endoscopy with biopsy at Mercy Hospital Waldron. CPT 43239.
What Mercy Hospital Waldron publishes for this service, straight from its standard-charges file, last updated June 8, 2026.
Outpatient / ER
$623cash price (self-pay)
$958list price
$5.00–$1,853range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cherokee Nation Health Serv Contracted [320066] | Hb Wldar Managed Mcr | $226 |
| Indian Health Service Contracted [320198] | Hb Wldar Managed Mcr | $226 |
| Elara Caring Aspire Hospice [20433] | Hb Wldar Managed Mcr | $226 |
| Kindful Hospice [20434] | Hb Wldar Managed Mcr | $226 |
| Halo Hcr Inc Hospice [20432] | Hb Wldar Managed Mcr | $226 |
| Spina Bifida Hlthcare Benefit [20506] | Hb Wldar Managed Mcr | $226 |
| Indian Health Service [20198] | Hb Wldar Managed Mcr | $226 |
| Mercy Hospice Okc [20252] | Hb Wldar Managed Mcr | $226 |
| Cross Timbers Hospice [20098] | Hb Wldar Managed Mcr | $226 |
| Blue Cross And Blue Shield [20053] | Hb Wldar Managed Mcr | $226 |
| Tricare [20380] | Hb Wldar Tricare | $259 |
| Tricare Contracted [320380] | Hb Wldar Tricare | $259 |
| Centivo Contracted [320505] | Hb Wldar Centivo Mcr | $372 |
| MERCY INTERFACILITY [20513] | HB WLDAR Inter-Facility CCR New 6.1.25 | $426 |
| Mercy Benefit Admin Contracted [320251] | Hb Ftsm Dec Quiktrip Co | $575 |
| Auxiant Contracted [320462] | Hb Wldar,Ozkar,Prsar,Bnvar,Bryv Dec City | $575 |
| Auxiant Contracted [320462] | Hb Ftsm Rogr Dec Buchheit | $575 |
| Aetna Contracted [320008] | Hb Wldar,Ozkar,Prsar,Bnvr Conventry/Aetna | $623 |
| Workers Comp [20426] | Hb Wldar,Ozkar,Prsar,Bnvar Work Comp Aetna/Cove | $623 |
| Aetna [20008] | Hb Wldar,Ozkar,Prsar,Bnvr Conventry/Aetna | $623 |
| Novasys Contracted [320285] | Hb Ftsm Novasys | $671 |
| Mercy Benefit Admin Contracted [320251] | Hb Wldar,Ozkar,Prsar,Bnvar,B | $814 |
| Mercy Benefit Admin Contracted [320251] | Hb Wldar,Ozkar,Prsar,Bnvar D | $814 |
| Healthlink Contracted [320179] | Hb Wldar,Ozkar,Prsar,Bnvar,Bryv Dec S | $814 |
| Humana Contracted [320193] | Hb Wldar,Ozkar,Prsar Humana | $814 |
| Cigna Healthcare Contracted [320071] | Hb Wldar,Ozkar,Prsar Cigna | $814 |
| Multiplan Contracted [320270] | Hb Ftsm,Wldar,Ozkar,Prsar Multi Plan | $814 |
| Municipal Health Plan Contracted [320271] | Hb Wldar,Ozkar,Prsar Munic | $814 |
| Mercy Benefit Admin Contracted [320251] | Hb Hb Wldar,Ozkar,Prsar,Bnva | $814 |
| Ebms [20493] | Hb Wldar,Ozkar,Prsar,Bnvar,Bryv Crader | $814 |
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