Upper GI endoscopy with biopsy at Santa Rosa Medical Center. CPT 43239.
What Santa Rosa Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$3,481cash price (self-pay)
$23,208list price
$345–$18,566range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Veterans Eval Services | Veterans Eval Services | $345 |
| Amerigroup Medicaid | Amerigroup Medicaid FL | $707 |
| FL Community Care | FL Community Care | $746 |
| NODE Humana MCR PPO PFFS | NODE Humana MCR PPO PFFS | $885 |
| NODE Tricare | NODE Tricare | $900 |
| NODE Aetna MCR ADV | NODE Aetna MCR ADV | $932 |
| Node BCBS FL Mcr Adv | Node BCBS FL Mcr Adv | $932 |
| NODE Cigna Healthspring MCR ADV | NODE Cigna Healthspring MCR ADV | $932 |
| NODE Humana MCR HMO POS | NODE Humana MCR HMO POS | $932 |
| NODE Medicare Non Par | NODE Medicare Non Par | $932 |
| NODE Medicare Traditional | NODE Medicare Traditional | $932 |
| Node UHC Mcr Adv | Node UHC Mcr Adv | $932 |
| NODE ChampVA | NODE ChampVA | $947 |
| NODE United Optum VA CCN | NODE United Optum VA CCN | $947 |
| Node Va | Node Va | $947 |
| NODE Wellcare MCR ADV | NODE Wellcare MCR ADV | $979 |
| GEO Group | GEO Group | $1,184 |
| NODE US Dept of Labor | NODE US Dept of Labor | $1,184 |
| Prime Health Work Comp FL | Prime Health Work Comp FL | $1,380 |
| Florida Workers Compensation | FL Work Comp | $1,422 |
| Florida State Auto Insurance | State Auto Insurance FL | $1,894 |
| Blue Cross and Blue Shield of Florida | BCBS FL BSL | $2,191 |
| Blue Cross and Blue Shield of Florida | BCBS FL MBN | $2,191 |
| SUNSHINE HEALTH AMBETTER MARKETPLACE | Sunshine State Health Plan Comm | $2,264 |
| Blue Cross and Blue Shield of Florida | BCBS FL HMO | $2,313 |
| BCBS FL Sbn | BCBS FL Sbn | $2,313 |
| Blue Cross and Blue Shield of Florida | BCBS FL NWB | $2,754 |
| Blue Cross and Blue Shield of Florida | BCBS FL PPO | $2,754 |
| Oscar | Oscar | $2,855 |
| Blue Cross and Blue Shield of Florida | BCBS FL PHS | $3,708 |
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