Upper GI endoscopy with biopsy at Shriners Children's Northern California. CPT 43239.
What Shriners Children's Northern California publishes for this service, straight from its standard-charges file, last updated March 19, 2026.
Outpatient / ER
$3,813cash price (self-pay)
$6,265list price
$127–$4,501range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup NV | Managed Medicaid | $127 |
| Centene SilverSummitt Healthplan | Medicaid | $141 |
| Health Plan of NV | Managed Medicaid | $141 |
| Centene | AZ Complete Health | $250 |
| Centene | Care 1st Health Plan AZ | $250 |
| Aetna Better Health of CA | Managed Medicaid | $336 |
| Anthem - Medi | Cal | $336 |
| Centene California Health and Wellness | Mgd Mcaid | $336 |
| Centene Calviva Health | Managed Medicaid | $336 |
| Centene Health Net of CA - Managed Medi | Cal | $336 |
| Central California Alliance for Health | Mgd Mcd | $336 |
| Health Plan of San Joaquin | Managed Medicaid | $336 |
| Kaiser Permanente | MediCal Man Care | $336 |
| Molina Healthcare of CA | Managed Medicaid | $336 |
| Partnership HealthPlan of CA | Managed Medicaid | $336 |
| Centene Western Sky Community Care | Mgd. Medicaid | $675 |
| Aetna Better Health of MI | Managed Medicaid | $1,177 |
| Kaiser Permanente | Commercial | $1,177 |
| Northbay Healthcare | Medicare Advantage | $1,177 |
| Cigna | Commercial | $1,248 |
| Sutter Medical Foundation | Commercial | $1,295 |
| Centene Trillium Community Health Plan | Mgd Mcd | $1,340 |
| Centene Ambttr Slvr Smmit Hlth Pln | Commercial | $1,354 |
| Centene SilverSummitt Healthplan | Medicare | $1,354 |
| Health Net of CA | Commercial | $1,354 |
| Aetna National | Commercial | $1,486 |
| Sana Benefits | Commercial | $1,648 |
| United Healthcare | Nat | $1,689 |
| Anthem | Commercial | $2,266 |
| Blue Cross Blue Shield of CA | Commercial | $4,101 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.
All common services at Shriners Children's Northern California