Upper GI endoscopy with biopsy at Dominican Hospital. CPT 43239.

What Dominican Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

—cash price (self-pay)

—list price

$269–$23,352range insurers pay

Insurance plan	Negotiated rate
BCBS - Anthem \| Medicaid\|All Plans	$269
Health Net \| Medicaid\|< 21	$331
Health Net \| Medicaid\|> 21	$331
COSC Psych \| Medicaid\|All Plans	$424
Central California Alliance for Health \| Medicaid\|All Plans	$424
Blue Shield CA \| Medicare\|All Plans	$1,288
Health Net \| Medicare\|All Plans	$1,288
Kaiser \| Medicare\|All Plans	$1,288
United \| Medicare\|All Plans	$1,288
Blue Shield CA \| Commercial\|DHMF	$1,468
Sutter Health \| Commercial\|All Plans	$4,032
Health Net \| Commercial\|Community Care	$6,840
Health Net \| Commercial\|Care Product	$8,328
Health Net \| Commercial\|Blue Gold	$8,425
Blue Shield CA \| Commercial\|Exchange	$8,426
Blue Shield CA \| Commercial\|ACO Trio	$8,807
Health Net \| Commercial\|All Other Plans	$9,253
BCBS - Anthem \| Commercial\|All Other Plans	$9,272
Blue Shield CA \| Commercial\|All Other Plans	$10,766
BCBS - Anthem \| Commercial\|MCS	$12,953
Aetna \| Commercial\|HMO	$23,174
Aetna \| Commercial\|PPO	$23,352

Billed more than this?

Snap a photo of your bill. We compare every line with these prices and coding rules, free.