Upper GI endoscopy with biopsy at Holy Cross Hospital. CPT 43239.
What Holy Cross Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$301cash price (self-pay)
$301list price
$43.67–$10,114range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Medicare Advantage | Medicare | $64.36 |
| Rx Allwin | Medicare | $64.36 |
| Humana Medicare Advantage | Humana Medicare Advantage | $64.36 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $496 |
| Positive Healthcare Partners Medicare | Positive Health Partners Medic | $506 |
| Blue Cross - FL Medicare Advantage | BCBS Medicare Advantage | $506 |
| Careplus Health Plans | Careplus Medicare Advantage | $507 |
| Cigna Medicare Advantage | Cigna Medicare Advantage | $510 |
| Wellcare Medicare | Wellcare Medicare Advantage | $521 |
| Healthsun Medicare Advantage | Healthsun Medicare Advantage | $521 |
| Avmed Medicare | Avmed Medicare Advantage | $529 |
| Devoted Health Medicare Advantage | Devoted Health Medicare Advantage | $532 |
| United Healthcare Medicare | United Healthcare Medicare Advantage | $928 |
| Catholic Hospice | Catholic Hospice | $947 |
| Vitas Healthcare Corp | Vitas Healthcare | $947 |
| Gold Kidney Medicare | Multiplan Medicare Advantage | $975 |
| Centivo | Centivo | $1,064 |
| Molina Marketplace | Molina Marketplace HMO | $1,367 |
| Blue Cross - FL | Truli For Health | $1,449 |
| Humana | Humana HMO-PPO | $1,522 |
| Blue Cross - FL | BCBS Network Blue | $2,282 |
| Blue Cross - Nh (Anthem) | BCBS Ppc | $7,541 |
| Blue Cross - Al | BCBS Ppc | $7,541 |
| Blue Cross - Nm | BCBS Ppc | $7,541 |
| Blue Cross - NY (Anthem) | BCBS Ppc | $7,541 |
| Blue Distinction Transplant | BCBS Ppc | $7,541 |
| Bcn Domestic | BCBS Ppc | $7,541 |
| Blue Cross Domestic | BCBS Ppc | $7,541 |
| Blue Cross - Ms | BCBS Ppc | $7,541 |
| Blue Cross - Ne | BCBS Ppc | $7,541 |
Inpatient
$517cash price (self-pay)
$517list price
$43.67–$501range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Paramount Advantage | Medicaid | $52.34 |
| Cmh West Mi County | Medicaid | $52.34 |
| Medicaid Pending | Medicaid | $52.34 |
| Blue Cross - Oh (Anthem) Medicaid Advantage | Medicaid | $52.34 |
| Preferred Care Partners | Preferred Care Partners Medicare Adv | $57.93 |
| Humana Medicare Advantage | Humana Medicare Advantage | $64.36 |
| Molina Medicare Advantage | Medicare | $64.36 |
| Rx Allwin | Medicare | $64.36 |
| Medicare Advantage Generic | Medicare | $64.36 |
| Blue Shield - De (Highmark) Medciare Advantage | Medicare | $64.36 |
| Secure Horizons MA Pffs | Medicare | $64.36 |
| Harvard Pilgrim Medicare | Medicare | $64.36 |
| Freedom Health Medicare Advantage | Medicare | $64.36 |
| Carecentrix Medicare Advantage | Medicare | $64.36 |
| Blue Cross - Ct (Anthem) Medicare Advantage | Medicare | $64.36 |
| Cigna Medicare Advantage | Cigna Medicare Advantage | $64.36 |
| Phoenix Medicare Advantage | Medicare | $64.36 |
| Blue Cross - Tn Medicare Advantage | Medicare | $64.36 |
| Blue Cross - Ia (Wellmark) Medicare Advantage | Medicare | $64.36 |
| Caresource Medicare | Medicare | $64.36 |
| Carepartners Of Connecticut Medicare Advantage | Medicare | $64.36 |
| Michigan Complete Health | Medicare | $64.36 |
| Blue Cross - Nc Medicare Advantage | Medicare | $64.36 |
| Texan Plus | Medicare | $64.36 |
| Carelon Health Medicare Advantage | Medicare | $64.36 |
| Fallon Health Medicare Advantage | Medicare | $64.36 |
| Medical Mutual Medicare | Medicare | $64.36 |
| Blue Shield - NY Highmark Northeastern Medicare Advantage | Medicare | $64.36 |
| Mvp Medicare Advantage | Medicare | $64.36 |
| Tribute Health Plans | Medicare | $64.36 |
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