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Upper GI endoscopy with biopsy at Adair County Memorial Hospital. CPT 43239.

What Adair County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 2, 2026.

Outpatient / ER

$1,819cash price (self-pay)
$3,755list price
$115–$4,932range insurers pay
Insurance planNegotiated rate
Wellmark HMO | Wellmark HMO$1,215
Wellmark PPO - All Other Plans | Wellmark PPO - All Other Plans$1,230
UHC Mcr Adv | UHC Mcr Adv$1,481
UHC Va Ccn | UHC Va Ccn$1,481
Mahp-All Plans | Mahp-All Plans$2,016
Centivo-All Plans | Centivo-All Plans$2,239
Aetna Whole Health - All Plans | Aetna Whole Health - All Plans$2,441
Midlands Choice-All Plans | Midlands Choice-All Plans$2,610
Iowa Total Care-All Plans | Iowa Total Care-All Plans$2,715
UHC-All Other Plans | UHC-All Other Plans$3,004
Geha-All Plans | Geha-All Plans$3,567
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All common services at Adair County Memorial Hospital