Upper GI endoscopy with biopsy at Saint Agnes Medical Center. CPT 43239.
What Saint Agnes Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$8,093cash price (self-pay)
—list price
$9.02–$5,118range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medi-Cal Healthnet | Health Net Medicaid | $9.76 |
| Medi-Cal Healthnet | Adventist Medicaid | $11.19 |
| Blue Shield - CA | Blue Shield Epn | $1,330 |
| Healthnet Medicare Advantage | Healthnet Medicare Advantage | $1,855 |
| Brand New Day Medicare Advantage | Brand New Day Medicare Advantage | $1,872 |
| Healthnet Medicare Advantage | Key Medical Group | $1,872 |
| Blue Cross - Tn | Anthem Bc HMO | $3,768 |
| Blue Cross - TX | Anthem Bc HMO | $3,768 |
| Blue Cross - Oh (Anthem) | Anthem Bc HMO | $3,768 |
| Blue Cross - Mn | Anthem Bc HMO | $3,768 |
| Blue Cross - Wi (Anthem) | Anthem Bc HMO | $3,768 |
| Blue Cross - Federal | Anthem Bc HMO | $3,768 |
| Blue Cross - Va (Carefirst) | Anthem Bc HMO | $3,768 |
| Blue Cross - Va (Anthem) | Anthem Bc HMO | $3,768 |
| Blue Cross - Nv (Anthem) | Anthem Bc HMO | $3,768 |
| Blue Cross - Ga (Anthem) | Anthem Bc HMO | $3,768 |
| Blue Cross - CA (Anthem) | Anthem Bc HMO | $3,768 |
| Blue Cross - In (Anthem) | Anthem Bc HMO | $3,768 |
| Geha | United Healthcare Choice | $4,822 |
| Blue Cross - Sc | Blue Shield Commercial | $5,035 |
| Blue Cross - Vt | Blue Shield Commercial | $5,035 |
| Blue Cross - Ut (Regence) | Blue Shield Commercial | $5,035 |
| Blue Cross - Sd (Wellmark) | Blue Shield Commercial | $5,035 |
| Blue Cross - Mi | Blue Shield Commercial | $5,035 |
| BCBS Generic | Blue Shield Commercial | $5,035 |
| Blue Shield - Wa (Regence) | Blue Shield Commercial | $5,035 |
| Blue Cross - Wa (Premera) | Blue Shield Commercial | $5,035 |
| Blue Cross - Wy | Blue Shield Commercial | $5,035 |
| Blue Cross - Wv (Highmark) | Blue Shield Commercial | $5,035 |
| Blue Cross - Ms | Blue Shield Commercial | $5,035 |
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