Upper GI endoscopy with biopsy at MercyOne Clinton Medical Center. CPT 43239.
What MercyOne Clinton 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–$1,941range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Rx Allwin | Medicare | $56.36 |
| Iowa Total Care | Iowa Total Care Medicaid | $456 |
| Molina Medicaid | Molina Medicaid | $460 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $501 |
| Wellpoint Medicare Advantage | Wellpoint Medicare Advantage | $521 |
| Oscar | Oscar | $712 |
| Wellpoint Medicaid | Wellpoint Medicaid | $847 |
| Blue Cross - Mi | Wellmark PPO | $927 |
| Blue Cross - In (Anthem) | Wellmark PPO | $927 |
| Blue Cross - Ks | Wellmark PPO | $927 |
| Blue Cross - Ia (Wellmark) | Wellmark PPO | $927 |
| Blue Cross - Ia (Wellmark) | Wellmark HMO | $927 |
| Blue Cross - IL | Wellmark PPO | $927 |
| Blue Cross - Wi (Anthem) | Wellmark PPO | $927 |
| Blue Cross - CA (Anthem) | Wellmark PPO | $927 |
| Blue Cross - Az | Wellmark PPO | $927 |
| Blue Cross - Sd (Wellmark) | Wellmark PPO | $927 |
| Blue Cross - Ar | Wellmark PPO | $927 |
| Blue Cross - Al | Wellmark PPO | $927 |
| Blue Cross - Oh (Anthem) | Wellmark PPO | $927 |
| Blue Cross - Ne | Wellmark PPO | $927 |
| BCBS Generic | Wellmark PPO | $927 |
| Blue Benefit Administrators Of Massachusetts | Wellmark PPO | $927 |
| Blue Distinction Transplant | Wellmark PPO | $927 |
| Blue Cross - Ak (Premera) | Wellmark PPO | $927 |
| Blue Cross - Co (Anthem) | Wellmark PPO | $927 |
| Blue Cross - Ga (Anthem) | Wellmark PPO | $927 |
| Blue Cross - De (Highmark) | Wellmark PPO | $927 |
| Blue Cross - Ct (Anthem) | Wellmark PPO | $927 |
| Blue Cross - Dc (Carefirst) | Wellmark PPO | $927 |
Inpatient
$503cash price (self-pay)
$503list price
$39.41–$503range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Rx Allwin | Medicare | $56.36 |
| Johns Hopkins Advantage Md | Medicare | $56.36 |
| Blue Cross - Tn Medicare Advantage | Medicare | $56.36 |
| Blue Cross - FL Medicare Advantage | Medicare | $56.36 |
| Medicare | Medicare | $56.36 |
| Um Health Advantage | Medicare | $56.36 |
| Aurora Special Needs | Medicare | $56.36 |
| Align Senior Care | Medicare | $56.36 |
| Life St Marys Pace | Medicare | $56.36 |
| Fresno Pace Medicare | Medicare | $56.36 |
| Innovative Integrated Health Community Plans | Medicare | $56.36 |
| Nebraska Total Care | Nebraska Total Care Medicaid | $68.64 |
| California Health And Wellness | Medicaid Iowa | $74.41 |
| La Care Health Plan | Medicaid Iowa | $74.41 |
| Community Care Behavorial Health | Medicaid Iowa | $74.41 |
| Commonwealth Care Alliance Medicaid | Medicaid Iowa | $74.41 |
| Blue Plus Mo Medicaid | Medicaid Iowa | $74.41 |
| Keystone First | Medicaid Iowa | $74.41 |
| Mercycare Medicaid | Medicaid Iowa | $74.41 |
| Unity Medicaid | Medicaid Iowa | $74.41 |
| Trillium Community Ohp | Medicaid Iowa | $74.41 |
| Upmc Medicaid Advantage | Medicaid Iowa | $74.41 |
| Health Plus Phsp Medicaid Adv | Medicaid Iowa | $74.41 |
| Centene | Medicaid Iowa | $74.41 |
| Illinicare Health Medicaid Advantage | Medicaid Iowa | $74.41 |
| Metroplus Medicaid Advantage | Medicaid Iowa | $74.41 |
| Blue Cross - Dc (Carefirst) Medicaid Advantage | Medicaid Iowa | $74.41 |
| Iowa Total Care | Iowa Total Care Medicaid | $75.90 |
| Wc Employee Mutual | Workers Comp | $503 |
| Wc Mra | Workers Comp | $503 |
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