Upper GI endoscopy with biopsy at Banner Payson Medical Center. CPT 43239.
What Banner Payson Medical Center publishes for this service, straight from its standard-charges file, last updated September 22, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$587–$4,735range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Arizona Physicians IPA | Medicaid | $587 |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $587 |
| Health Choice Arizona, Inc. | Medicaid | $587 |
| Health Net | Medicaid | $587 |
| Mercy Care | Mercy Medicaid | $587 |
| Aetna | Banner Employee Plans | $2,764 |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $3,496 |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $3,729 |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $3,915 |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $4,661 |
| Blue Cross Blue Shield of Arizona | Commercial | $4,661 |
| Blue Cross Blue Shield of Arizona | BCBSAZ Medicare | $4,735 |
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