Upper GI endoscopy with biopsy at MercyOne Waterloo Medical Center. CPT 43239.
What MercyOne Waterloo 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–$4,236range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Rx Allwin | Medicare | $56.36 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $56.36 |
| Longevity Health Plan | Medicare | $56.36 |
| Commonwealth Care Alliance Medicare | Medicare | $56.36 |
| Pace Iowa Immanuel Pathways | Medicare | $56.36 |
| Highmark Wholecare Medicare Advantage | Medicare | $56.36 |
| Health America Advantra | Medicare | $56.36 |
| Wellpoint Medicare Advantage | Wellpoint Medicare Advantage | $57.49 |
| Albany County Correctional Facility | Medicaid Iowa | $74.41 |
| Idaho Dept Health And Wellfare | Medicaid Iowa | $74.41 |
| Ryan White Florida Mssrp | Medicaid Iowa | $74.41 |
| Medicaid Spenddown | Medicaid Iowa | $74.41 |
| Id County Other | Medicaid Iowa | $74.41 |
| Id County Payette | Medicaid Iowa | $74.41 |
| Id County Ada | Medicaid Iowa | $74.41 |
| City Of Philadelphia | Medicaid Iowa | $74.41 |
| County Funding Generic | Medicaid Iowa | $74.41 |
| Robert F Sing Program | Medicaid Iowa | $74.41 |
| St Joseph County Hlth Dpt | Medicaid Iowa | $74.41 |
| Iowa Total Care | Iowa Total Care Medicaid | $75.90 |
| Molina Medicaid | Molina Medicaid | $76.27 |
| Ambetter | Ambetter | $97.77 |
| Sanford Health Plan | Sanford Health Plan | $98.87 |
| Lucent Health | Lucent Health | $104 |
| Oscar | Oscar | $108 |
| Centivo | Centivo | $115 |
| Claimdoc | Claimdoc | $120 |
| Cigna Eap | Midlands Choice | $183 |
| Meritain | Aetna | $227 |
| Aetna Domestic | Aetna | $227 |
Inpatient
$503cash price (self-pay)
$503list price
$39.41–$503range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Rx Allwin | Medicare | $56.36 |
| Sanford Health Plan Medicare Advantage | Medicare | $56.36 |
| Jefferson Health Plans Medicare | Medicare | $56.36 |
| Alignment Health Plan Medicare Advantage | Medicare | $56.36 |
| Welbe Health | Medicare | $56.36 |
| Ally Align Care Adv | Medicare | $56.36 |
| Optum Medicare Transplant | Medicare | $56.36 |
| Humana Medicare Transplant | Medicare | $56.36 |
| Indiana Breast Cervical Cancer | Medicaid Iowa | $74.41 |
| New York Cancer Services Program | Medicaid Iowa | $74.41 |
| Id County Other | Medicaid Iowa | $74.41 |
| Id County Ada | Medicaid Iowa | $74.41 |
| Id County Canyon | Medicaid Iowa | $74.41 |
| Paramount Medicaid Advantage | Medicaid Iowa | $74.41 |
| Cmh Barry County | Medicaid Iowa | $74.41 |
| Harbor Health | Medicaid Iowa | $74.41 |
| Washtenaw Health Plan | Medicaid Iowa | $74.41 |
| Bmc Healthnet | Medicaid Iowa | $74.41 |
| Amps | Amps | $77.64 |
| Blue Cross - Va (Carefirst) | Wellmark BCBS | $132 |
| Blue Cross - Ks | Wellmark BCBS | $132 |
| Blue Cross - In (Anthem) | Wellmark BCBS | $132 |
| Blue Cross - Mn | Wellmark BCBS | $132 |
| Auxiant | Midlands Choice | $183 |
| Iowa Dept Of Public Health | Iowa Dept Of Public Health | $252 |
| Wc Nca Comp | Workers Comp | $503 |
| Wc New York | Workers Comp | $503 |
| Wc City Of Albany | Workers Comp | $503 |
| Wc Risico | Workers Comp | $503 |
| Jag Source | Workers Comp | $503 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.