Upper GI endoscopy with biopsy at Mercy Hospital of Folsom. CPT 43239.

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

Outpatient / ER

—cash price (self-pay)

—list price

$138–$9,971range insurers pay

Insurance plan	Negotiated rate
Hill Physicians \| Commercial\|All Plans	$138
United \| Medicaid\|< 21	$269
United \| Medicaid\|> 21	$269
Hill Physicians \| Medicare\|All Plans	$425
Hill Physicians \| Medicaid\|All Plans	$466
BCBS - Anthem \| Medicaid\|All Plans	$638
Molina \| Medicaid\|All Plans	$796
California Health & Wellness \| Medicaid\|All Plans	$1,000
Health Net \| Medicaid\|All Plans	$1,000
BCBS - Anthem \| Medicare\|All Other Plans	$1,162
Humana \| Commercial\|All Plans	$1,232
Aetna \| Medicare\|All Plans	$1,232
Blue Shield CA \| Medicare\|HMO	$1,232
Blue Shield CA \| Medicare\|PPO	$1,232
Kaiser \| Medicare\|All Plans	$1,232
United \| Medicare\|All Plans	$1,232
BCBS - Anthem \| Medicare\|Imperial	$1,269
Partnership Health Plan \| Medicaid\|All Plans	$1,444
Blue Shield CA \| Commercial\|ACO Trio	$3,708
Health Net \| Commercial\|EPPO	$4,476
Blue Shield CA \| Commercial\|Exchange	$4,667
Blue Shield CA \| Commercial\|ACO Trio CalPers	$4,725
BCBS - Anthem \| Commercial\|Connection EPO	$5,698
Blue Shield CA \| Commercial\|PPO Tandem	$6,831
Blue Shield CA \| Commercial\|HMO	$6,923
BCBS - Anthem \| Commercial\|All Other Plans	$7,122
Blue Shield CA \| Commercial\|CalPers	$7,368
Aetna \| Commercial\|All Other Plans	$8,006
Aetna \| Commercial\|HMO	$8,006
Aetna \| Commercial\|PPO	$8,006

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