Upper GI endoscopy with biopsy at BSA Hospital. CPT 43239.
What BSA Hospital publishes for this service, straight from its standard-charges file, last updated February 12, 2026.
Outpatient / ER
$520cash price (self-pay)
$5,199list price
$310–$4,419range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Umr - Ardent Employee [2036] | Umr - Ardent Employee [203601] | $1,733 |
| Healthscope Benefits [2290] | Healthscope Ardent [229001] | $1,733 |
| Horizon Nj Health [3635] | Horizon Nj Health [363500] | $2,028 |
| Midland Pace Mcaid [3715] | Midland Pace Mcaid [371500] | $2,028 |
| Umr [2035] | Umr Oon Potter Co [203506] | $2,028 |
| Sana Benefits [5005] | Sana Benefits [500500] | $2,600 |
| Texas Rehabilitation [1970] | Texas Workforce Commission [197000] | $2,963 |
| Nreca [1735] | Nreca [173500] | $3,187 |
| Phoenix Home Life [1785] | Phoenix Home Life [178500] | $3,639 |
| Northamerica Administrators [1725] | Northamerica Administrators [1725 | $3,639 |
| Pan American Life Insurance Co [1770] | Pan American Life [177000] | $3,639 |
| Rh Administrators [1885] | Rh Administrators [188500] | $3,639 |
| Principal Mutual Life [1845] | Principal Colorado Claims [184500] | $3,639 |
| Phcs [1780] | Phcs Multiplan [178000] | $3,639 |
| Phcs [1780] | Freedom Life [178009] | $3,639 |
| Beech Street [1170] | Beech Street/Cappcare Misc [117000] | $3,639 |
| Americas Choice Health Plans [1090] | Americas Choice Health Plans [10 | $3,639 |
| Benefit Management [1175] | Benefit Management [117500] | $3,639 |
| Comcar Industries [1280] | Comcar Industries [128000] | $3,639 |
| Web Tpa [2115] | Web Tpa [211501] | $3,639 |
| Celtic Life [1220] | Celtic Life [122000] | $3,639 |
| Mega Life And Health [1650] | Mega Life Heatlh [165001] | $3,639 |
| Insurers Administrative Corp [1550] | Insurers Administrative Corp [15 | $3,639 |
| Alieracare [2935] | Trinity Healthshare [293500] | $3,639 |
| National Association Of Letter Carriers [1695] | Nalc [169500] | $3,774 |
| Healthpartners [1500] | Healthpartners [150000] | $3,774 |
| Reserve National [1880] | Reserve National [188000] | $3,899 |
| Meritain Health [1655] | Meritain Health [165500] | $3,899 |
| Rural Carrier Benefit Plan [1895] | Rural Carrier Benefit Plan [189500 | $3,899 |
| Fmh Benefit Services [1390] | Fmh [139000] | $3,899 |
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