Upper GI endoscopy with biopsy at MercyOne New Hampton Medical Center. CPT 43239.
What MercyOne New Hampton 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
$3.33–$1,386range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Rx Allwin | Medicare | $56.36 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $56.36 |
| Amerihealth Medicare | Medicare | $56.36 |
| Pacificsource Health Plans Medicare Advantage | Medicare | $56.36 |
| Connecticare Vip Medicare | Medicare | $56.36 |
| Total Healthcare Medicare Snp | Medicare | $56.36 |
| Mercy Life | Medicare | $56.36 |
| Siouxland Pace | Medicare | $56.36 |
| Blue Cross - NY (Anthem) Medicare Advantage | Medicare | $56.36 |
| Blue Cross - Ne Medicare Advantage | Medicare | $56.36 |
| Blue Cross - Ky (Anthem) Medicare Advantage | Medicare | $56.36 |
| Aurora Special Needs | Medicare | $56.36 |
| Um Health Advantage | Medicare | $56.36 |
| Blue Shield - Id (Regence) Medicare Advantage | Medicare | $56.36 |
| Medicare Advantage Generic | Medicare | $56.36 |
| Preferred Care Partners | Medicare | $56.36 |
| Blue Cross - Ct (Anthem) Medicare Advantage | Medicare | $56.36 |
| Carecentrix Medicare Advantage | Medicare | $56.36 |
| Wellpoint Medicare Advantage | Wellpoint Medicare Advantage | $57.49 |
| Tricare West Healthnet | Tricare | $61.77 |
| Tricare East Humana | Tricare | $61.77 |
| Cmh Wayne Cty/Com Liv Svcs | Medicaid Iowa | $74.41 |
| Cmh Detroit Wayne Integrated Health Network | Medicaid Iowa | $74.41 |
| Nascentia Health Options | Medicaid Iowa | $74.41 |
| Cmh Misc | Medicaid Iowa | $74.41 |
| Cmh Livingston County | Medicaid Iowa | $74.41 |
| Cmh Lenawee County | Medicaid Iowa | $74.41 |
| Community Care Plan Medicaid Advantage | Medicaid Iowa | $74.41 |
| Iowa Total Care | Iowa Total Care Medicaid | $75.90 |
| Molina Medicaid | Molina Medicaid | $76.27 |
Inpatient
$503cash price (self-pay)
$503list price
$39.41–$503range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid - Mi | Medicaid | $39.41 |
| Rx Allwin | Medicare | $56.36 |
| Central Valley Medical Services Corp Pace | Medicare | $56.36 |
| Keystone First Chc Medicare Advantage | Medicare | $56.36 |
| Alignment Health Plan Medicare Advantage | Medicare | $56.36 |
| Medicare Advantage Generic | Medicare | $56.36 |
| Preferred Care Partners | Medicare | $56.36 |
| Blue Cross - Ms Medicare Advantage | Medicare | $56.36 |
| Blue Cross - MA Medicare Advantage | Medicare | $56.36 |
| Blue Cross - FL Medicare Advantage | Medicare | $56.36 |
| Medstar Medicare Advantage | Medicare | $56.36 |
| Martins Point Generations Advantage | Medicare | $56.36 |
| Hope Select Pace | Medicare | $56.36 |
| Molina Medicare Advantage | Molina Medicare Advantage | $56.36 |
| Clear Spring Health | Medicare | $56.36 |
| Osu Prime Care Advantage | Medicare | $56.36 |
| The Health Plan | Medicare | $56.36 |
| Molina Medicare Advantage | Molina Ne Medicare Advantage | $59.81 |
| Moda Plus Medicaid Advantage | Medicaid Iowa | $74.41 |
| Blue Cross - Id Medicaid Advantage | Medicaid Iowa | $74.41 |
| Medstar Md Health Choice | Medicaid Iowa | $74.41 |
| Blue Plus Mo Medicaid | Medicaid Iowa | $74.41 |
| Keystone First Chc Medicaid | Medicaid Iowa | $74.41 |
| Maryland Physicians Care | Medicaid Iowa | $74.41 |
| Health New England Medicaid Advantage | Medicaid Iowa | $74.41 |
| Highmark Wholecare Medicaid | Medicaid Iowa | $74.41 |
| Dscc | Medicaid Iowa | $74.41 |
| Affinity Health Plan Medicaid Advantage | Medicaid Iowa | $74.41 |
| Presbyterian Centennial Care | Medicaid Iowa | $74.41 |
| Medicaid Oos Nhi | Medicaid Iowa | $74.41 |
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