Upper GI endoscopy with biopsy at MercyOne Des Moines Medical Center. CPT 43239.
What MercyOne Des Moines 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–$3,725range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Iowa Dept Of Public Health | Care For Yourself | $69.55 |
| Rx Allwin | Medicare | $74.97 |
| Iowa Total Care | Iowa Total Care Medicaid | $856 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $859 |
| Molina Medicaid | Molina Medicaid | $864 |
| Wellpoint Medicare Advantage | Wellpoint Medicare Advantage | $894 |
| Oscar | Oscar | $1,245 |
| Centivo | Centivo | $1,264 |
| Claimdoc | Claimdoc | $1,761 |
| Medigold Medicare Advantage | Mercyone Health Plan Medicare Advantage | $1,816 |
| Blue Cross - Ia (Wellmark) Medicare Advantage | Wellmark Medicare Adva | $1,835 |
| Wellpoint Medicaid | Wellpoint Medicaid | $1,836 |
| United Healthcare Medicare | United Healthcare Medicare Advantage | $1,853 |
| BCBS Generic | Wellmark PPO | $1,960 |
| Blue Cross - Ia (Wellmark) | Wellmark HMO | $1,960 |
| Blue Cross - Ia (Wellmark) | Wellmark PPO | $1,960 |
| Blue Distinction Transplant | Wellmark PPO | $1,960 |
| Blue Benefit Administrators Of Massachusetts | Wellmark PPO | $1,960 |
| Blue Shield - Wa (Regence) | Wellmark PPO | $1,960 |
| Blue Cross - Wv (Highmark) | Wellmark PPO | $1,960 |
| Blue Cross - Wy | Wellmark PPO | $1,960 |
| Blue Cross - Federal | Wellmark PPO | $1,960 |
| Blue Cross - CA (Anthem) | Wellmark PPO | $1,960 |
| Blue Cross - Oh (Anthem) | Wellmark PPO | $1,960 |
| Blue Cross - Sd (Wellmark) | Wellmark PPO | $1,960 |
| Blue Cross - Al | Wellmark PPO | $1,960 |
| Blue Cross - Ak (Premera) | Wellmark PPO | $1,960 |
| Blue Cross - Ks | Wellmark PPO | $1,960 |
| Blue Cross - NY (Excellus) | Wellmark PPO | $1,960 |
| Blue Shield - NY Highmark Western | Wellmark PPO | $1,960 |
Inpatient
$503cash price (self-pay)
$503list price
$39.41–$503range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Rx Allwin | Medicare | $56.36 |
| Global Medicare Advantage | Medicare | $56.36 |
| Priority Health Medicare Advantage | Medicare | $56.36 |
| Cca Senior Care Options | Medicare | $56.36 |
| Mvp Medicare Advantage | Medicare | $56.36 |
| Carecentrix Medicare Advantage | Medicare | $56.36 |
| Tribute Health Plans | Medicare | $56.36 |
| Medstar Medicare Advantage | Medicare | $56.36 |
| Security Health Medicare | Medicare | $56.36 |
| Meridian Complete | Medicare | $56.36 |
| American Health Plan | American Health Medicare Advantage | $59.18 |
| Health Plus Phsp Medicaid Adv | Medicaid Iowa | $74.41 |
| Blue Cross - Md (Carefirst) Medicaid Advantage | Medicaid Iowa | $74.41 |
| Care Connections Of Northern Iowa | Medicaid Iowa | $74.41 |
| Medicaid - Co | Medicaid Iowa | $74.41 |
| Community Care Medicaid | Medicaid Iowa | $74.41 |
| Group Health Cooperative Medicaid | Medicaid Iowa | $74.41 |
| Dean Health Medicaid | Medicaid Iowa | $74.41 |
| Lakeland Care Inc | Medicaid Iowa | $74.41 |
| Icare Medicaid | Medicaid Iowa | $74.41 |
| Community Care Partners | Medicaid Iowa | $74.41 |
| Connections Csp | Medicaid Iowa | $74.41 |
| Robert F Sing Program | Medicaid Iowa | $74.41 |
| Blue Cross - Id | Wellmark BCBS | $132 |
| Blue Cross - Hi | Wellmark BCBS | $132 |
| Blue Cross - Me (Anthem) | Wellmark BCBS | $132 |
| Blue Cross - La | Wellmark BCBS | $132 |
| Blue Cross - Ky (Anthem) | Wellmark BCBS | $132 |
| Midlands Choice | Midlands Choice | $183 |
| Cigna Eap | Midlands Choice | $183 |
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