Upper GI endoscopy with biopsy at Providence Saint John's Health Center. CPT 43239.
What Providence Saint John's Health Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$587cash price (self-pay)
$1,676list price
$1,167–$9,297range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Managed Care Plan | $1,167 |
| Humana | Choicecare Medicare Managed Care Plan | $1,190 |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $1,222 |
| Central Health Plan | Medicare Managed Care Plan | $1,283 |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $1,376 |
| Blue Shield | Epn/Ifp Benefit Exchange | $1,458 |
| La Care Health Plan | Covered Ca Exchange | $1,516 |
| Blue Shield | Medicare Managed Care Plan | $1,528 |
| Healthnet | Ambetter Hmo | $2,158 |
| Healthnet | Ambetter Ppo | $2,496 |
| Healthnet | Blue And Gold Other Commercial Plan | $2,719 |
| Unitedhealthcare | Select/Navigate Hmo | $4,099 |
| Healthnet | All Commercial Plans | $4,385 |
| Unitedhealthcare | All Commercial Plans | $4,649 |
| Blue Shield | Tandem Ppo/Blue High Performance Ppo/Epo | $5,108 |
| Blue Cross | All Commercial Plans | $5,559 |
| Blue Shield | Hmo | $5,673 |
| Blue Shield | Ppo/Epo | $5,673 |
| Cigna | All Commercial Plans | $9,297 |
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All common services at Providence Saint John's Health Center