Upper GI endoscopy with biopsy at Santa Rosa Memorial Hospital. CPT 43239.
What Santa Rosa Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,602cash price (self-pay)
$3,141list price
$1,262–$15,202range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Healthnet | Medicare Managed Care Plan | $1,262 |
| Aetna | Medicare Managed Care Plan | $1,288 |
| Blue Shield | Epn Exchange | $2,995 |
| Blue Shield | Hmo/Pos/Ppo | $3,650 |
| Blue Cross | Epo Exchange | $4,042 |
| Unitedhealthcare | Select/Navigate Hmo | $4,737 |
| Blue Cross | Nonmcs All Commercial Plans | $4,836 |
| Unitedhealthcare | All Commercial Plans | $5,357 |
| Blue Cross | Mcs All Commercial Plans | $5,803 |
| Healthnet | Hmo/Pos/Ppo | $6,127 |
| Aetna | All Commercial Plans | $15,202 |
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