Upper GI endoscopy with biopsy at Saint Francis Hospital and Medical Center. CPT 43239.
What Saint Francis Hospital and Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$301cash price (self-pay)
$301list price
$39.41–$3,779range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Rx Allwin | Medicare | $63.63 |
| Molina Medicare Advantage | Medicare | $63.63 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $565 |
| Connecticare Vip Medicare Advantage | Connecticare Medicare Advantage | $565 |
| Health New England Medicare Advantage | Health New England Medicare Ad | $570 |
| Carepartners Of Connecticut Medicare Advantage | Carepartners Medicare | $576 |
| Fallon Health Medicare Advantage | Fallon Medicare Advantage | $578 |
| Cigna Medicare Advantage | Cigna Medicare Advantage | $581 |
| Wellcare Medicare | Wellcare Medicare Advantage | $587 |
| Fallon Health Medicare Advantage | Fallon Navicare Medicare Advantage | $595 |
| United Healthcare Medicare | United Healthcare Medicare Advantage | $1,087 |
| Cca Senior Care Options | Commonwealth Care Alliance Medicare Adv | $1,087 |
| Innovative Health Plan II | Innovative Health Plan | $1,198 |
| Blue Cross - Ct (Anthem) | Anthem Individual Pathway HMO PPO | $2,929 |
| Blue Cross - Ct (Anthem) | Anthem Bc Prime Bcn Cent Pref Sm Grp Pth | $3,401 |
| Blue Cross - Mi | Anthem | $3,779 |
| Blue Cross - Mn | Anthem | $3,779 |
| Blue Care Network | Anthem | $3,779 |
| Bcn Domestic | Anthem | $3,779 |
| Blue Cross Domestic | Anthem | $3,779 |
| Wc Domestic | Anthem | $3,779 |
| Blue Cross - Me (Anthem) | Anthem | $3,779 |
| Blue Cross - Ky (Anthem) | Anthem | $3,779 |
| Blue Cross - La | Anthem | $3,779 |
| Blue Cross - Wi (Anthem) | Anthem | $3,779 |
| Blue Cross - IL | Anthem | $3,779 |
| Blue Cross - Ct (Anthem) | Anthem | $3,779 |
| Unicare | Unicare | $3,779 |
| Blue Cross - Ga (Anthem) | Anthem | $3,779 |
| Blue Cross - Hi | Anthem | $3,779 |
Inpatient
$530cash price (self-pay)
$530list price
$39.41–$530range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Mdwise | Medicaid | $47.78 |
| Mclaren Health Medicaid | Medicaid | $47.78 |
| Washtenaw Health Plan | Medicaid | $47.78 |
| Hap Medicaid | Medicaid | $47.78 |
| Amerigroup Medicaid | Medicaid | $47.78 |
| Philadelphia County Funding | Medicaid | $47.78 |
| County Coroner | Medicaid | $47.78 |
| St Joseph County Hlth Dpt | Medicaid | $47.78 |
| Rx Medicaid | Medicaid | $47.78 |
| Trillium Community Ohp | Medicaid | $47.78 |
| Health Plus Phsp Medicaid Adv | Medicaid | $47.78 |
| Upmc Medicaid Advantage | Medicaid | $47.78 |
| Metroplus Medicaid Advantage | Medicaid | $47.78 |
| Pacificsource Health Plans Medicaid Advantage | Medicaid | $47.78 |
| Green Mountain Medicaid Advantage | Medicaid | $47.78 |
| Medicaid - Co | Medicaid | $47.78 |
| Molina Medicare Advantage | Medicare | $63.63 |
| Rx Allwin | Medicare | $63.63 |
| Hap Medicare Advantage | Medicare | $63.63 |
| Mi Healthlink Medicare | Medicare | $63.63 |
| Blue Cross - Ri Medicare Advantage | Medicare | $63.63 |
| Rx Medicare | Medicare | $63.63 |
| Lifecircles Pace | Medicare | $63.63 |
| Blue Cross - Mt Medicare Advantage | Medicare | $63.63 |
| Multiplan | Multiplan | $170 |
| Njm Insurance Group | Workers Comp | $171 |
| Wc Intermountain | Workers Comp | $171 |
| Wc Idaho State Ins Fund | Workers Comp | $171 |
| Wc Compone Admin | Workers Comp | $171 |
| Wc Mdia | Workers Comp | $171 |
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All common services at Saint Francis Hospital and Medical Center