Upper GI endoscopy with biopsy at MercyOne Centerville Medical Center. CPT 43239.
What MercyOne Centerville 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
$2.46–$1,386range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross - IL | Wellmark PPO | $2.70 |
| Blue Cross - Mi | Wellmark PPO | $2.70 |
| Blue Cross - IL Alternate | Wellmark PPO | $2.70 |
| Blue Cross - Mn | Wellmark PPO | $2.70 |
| Blue Cross - Nd | Wellmark PPO | $2.70 |
| Blue Cross - Mo (Anthem) | Wellmark PPO | $2.70 |
| Blue Cross - Ks | Wellmark PPO | $2.70 |
| Blue Cross - In (Anthem) | Wellmark PPO | $2.70 |
| Blue Cross - Oh (Anthem) | Wellmark PPO | $2.70 |
| Blue Cross - Ne | Wellmark PPO | $2.70 |
| Blue Care Network | Wellmark PPO | $2.70 |
| Blue Benefit Administrators Of Massachusetts | Wellmark PPO | $2.70 |
| BCBS Generic | Wellmark PPO | $2.70 |
| Blue Cross - Ri | Wellmark PPO | $2.70 |
| Blue Cross - Ut (Regence) | Wellmark PPO | $2.70 |
| Blue Cross - TX | Wellmark PPO | $2.70 |
| Blue Cross - Tn | Wellmark PPO | $2.70 |
| Blue Cross - Va (Carefirst) | Wellmark PPO | $2.70 |
| Blue Cross - Va (Anthem) | Wellmark PPO | $2.70 |
| Blue Cross - Vt | Wellmark PPO | $2.70 |
| Blue Cross - Wv (Highmark) | Wellmark PPO | $2.70 |
| Blue Shield - Wa (Regence) | Wellmark PPO | $2.70 |
| Blue Cross - Wa (Premera) | Wellmark PPO | $2.70 |
| Blue Cross - Federal | Wellmark PPO | $2.70 |
| Blue Cross - Wy | Wellmark PPO | $2.70 |
| Blue Distinction Transplant | Wellmark PPO | $2.70 |
| Blue Cross - Nv (Anthem) | Wellmark PPO | $2.70 |
| Rx Allwin | Medicare | $56.36 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $56.36 |
| Wellpoint Medicare Advantage | Wellpoint Medicare Advantage | $57.49 |
Inpatient
$503cash price (self-pay)
$503list price
$39.41–$503range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Rx Allwin | Medicare | $56.36 |
| Vnsny Choice Medicare | Medicare | $56.36 |
| Blue Cross - Id Medicare Advantage | Medicare | $56.36 |
| Blue Care Network Advantage | Medicare | $56.36 |
| Veterans Eval Services | Tricare | $61.77 |
| Carelon Health Medicaid | Medicaid Iowa | $74.41 |
| Medi-Cal Blue Cross | Medicaid Iowa | $74.41 |
| Vnsny Choice Medicaid | Medicaid Iowa | $74.41 |
| Vaya Health Lme | Medicaid Iowa | $74.41 |
| Eastpointe Lme | Medicaid Iowa | $74.41 |
| Cardinal Innovations Lme | Medicaid Iowa | $74.41 |
| Sunshine State Health Plan | Medicaid Iowa | $74.41 |
| Medicaid Advantage Generic | Medicaid Iowa | $74.41 |
| Medicaid - Sd | Medicaid Iowa | $74.41 |
| Medicaid - Tn | Medicaid Iowa | $74.41 |
| Medicaid - Ri | Medicaid Iowa | $74.41 |
| Allwell Medicaid Advantage | Medicaid Iowa | $74.41 |
| Lakeland Care Inc | Medicaid Iowa | $74.41 |
| Medicaid - Ar | Medicaid Iowa | $74.41 |
| Medicaid - Al | Medicaid Iowa | $74.41 |
| Medicaid - Ak | Medicaid Iowa | $74.41 |
| Mvp Medicaid Advantage | Medicaid Iowa | $74.41 |
| Chhuny | Medicaid Iowa | $74.41 |
| Blue Cross - NY (Excellus) Medicaid Advantage | Medicaid Iowa | $74.41 |
| Maryland Physicians Care | Medicaid Iowa | $74.41 |
| Keystone First Chc Medicaid | Medicaid Iowa | $74.41 |
| Hennepin Health | Medicaid Iowa | $74.41 |
| Group Health Cooperative Medicaid | Medicaid Iowa | $74.41 |
| Icare Medicaid | Medicaid Iowa | $74.41 |
| Community Care Medicaid | Medicaid Iowa | $74.41 |
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