Upper GI endoscopy with biopsy at St Mary Medical Center. CPT 43239.
What St Mary Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,438cash price (self-pay)
$2,995list price
$1,167–$15,176range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Managed Care Plan | $1,167 |
| Heritage Provider Network | All Commercial Plans | $1,312 |
| Kaiser | All Commercial Plans | $2,958 |
| Healthnet | Hmo/Pos/Ppo | $3,197 |
| Unitedhealthcare | Select/Navigate Hmo | $3,257 |
| Unitedhealthcare | All Commercial Plans | $3,608 |
| Aetna | All Commercial Plans | $4,035 |
| Blue Shield | Epn Exchange | $5,678 |
| Blue Shield | Hmo/Ppo | $7,344 |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $12,647 |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $15,176 |
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