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 February 28, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$269–$8,463range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| HCLA | Medicaid|Preferred IPA < 21 | $269 |
| HCLA | Medicaid|Preferred IPA > 21 | $269 |
| Inland Empire Health Plan | Medicaid|All Plans | $269 |
| Partnership Health Plan | Medicaid|< 21 | $269 |
| Partnership Health Plan | Medicaid|> 21 | $269 |
| BCBS - Anthem | Medicaid|All Plans | $336 |
| Health Net | Medicaid|< 21 | $357 |
| Health Net | Medicaid|> 21 | $357 |
| Noble IPA | Medicaid|< 21 | $381 |
| Noble IPA | Medicaid|> 21 | $381 |
| Kaiser | Medicaid|< 21 | $403 |
| Kaiser | Medicaid|> 21 | $403 |
| Preferred IPA | Medicaid|Risk | $424 |
| Angeles IPA | Medicare|All Plans | $424 |
| Molina | Medicaid|All Plans | $593 |
| LA Care | Medicaid|All Plans | $1,107 |
| BCBS - Anthem | Medicare|All Plans | $1,191 |
| Blue Shield CA | Medicare|All Other Plans | $1,191 |
| Central Health Plan | Medicare|All Plans | $1,191 |
| Cigna | Medicare|All Plans | $1,191 |
| EasyChoice | Medicare|All Plans | $1,191 |
| HCLA | Medicare|Preferred IPA | $1,191 |
| Health Net | Medicare|All Other Plans | $1,191 |
| Health Net | Medicare|HMO | $1,191 |
| Humana | Medicare|All Plans | $1,191 |
| Kaiser | Medicare|All Plans | $1,191 |
| LA Care | Medicare|All Plans | $1,191 |
| Molina | Medicare|All Plans | $1,191 |
| HPN | Medicare|Senior | $1,310 |
| HCLA | Commercial|Preferred IPA | $1,489 |
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