Upper GI endoscopy with biopsy at St Helena Hospital. CPT 43239.
What St Helena Hospital publishes for this service, straight from its standard-charges file, last updated July 15, 2026.
Outpatient / ER
$77.10cash price (self-pay)
$514list price
$136–$18,756range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Shield Mcr Adv | Blue Shield Mcr Adv | $136 |
| Tricare Blue Shield | Tricare Blue Shield | $136 |
| Blue Shield Bh Mcr Adv | Blue Shield Bh Mcr Adv | $136 |
| Kaiser Mcr Adv | Kaiser Mcr Adv | $136 |
| Ah Employee Health Plan - All Plans | Ah Employee Health Plan - All Pl | $149 |
| Interplan-All Plans | Interplan-All Plans | $163 |
| Kaiser-All Other Plans | Kaiser-All Other Plans | $163 |
| Cigna-All Other Plans | Cigna-All Other Plans | $171 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $182 |
| UHC Jll | UHC Jll | $182 |
| UHC Options PPO | UHC Options PPO | $182 |
| UHC Select/Select Plus | UHC Select/Select Plus | $182 |
| Western Growers-All Plans | Western Growers-All Plans | $194 |
| Medi-Cal | Medi-Cal | $234 |
| Va Medi-Cal | Va Medi-Cal | $234 |
| Aetna-All Plans | Aetna-All Plans | $254 |
| Phcs-All Plans | Phcs-All Plans | $283 |
| Health Management Network-All Plans | Health Management Network-All Pl | $437 |
| Blue Cross Non Mcs | Blue Cross Non Mcs | $451 |
| Blue Cross Mcs - All Other Plans | Blue Cross Mcs - All Other Plans | $451 |
| Three Rivers-All Plans | Three Rivers-All Plans | $463 |
| Blue Shield Epn-All Other Plans | Blue Shield Epn-All Other Plans | $711 |
| Blue Shield Non-Epn | Blue Shield Non-Epn | $752 |
| UHC Mcr Adv | UHC Mcr Adv | $1,205 |
| Va Mcr - All Other Plans | Va Mcr - All Other Plans | $1,205 |
| Blue Shield Behav Hlth | Blue Shield Behav Hlth | $1,724 |
| Healthnet-All Plans | Healthnet-All Plans | $2,348 |
| Umr UHC PPO | Umr UHC PPO | $2,438 |
| Choicecare-All Plans | Choicecare-All Plans | $2,681 |
| Beech Street-All Plans | Beech Street-All Plans | $2,873 |
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