Upper GI endoscopy with biopsy at MercyOne West Des Moines Medical Center. CPT 43239.
What MercyOne West 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
$0.96–$1,761range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Rx Allwin | Medicare | $56.36 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $56.36 |
| Pacificsource Health Plans Medicare Advantage | Medicare | $56.36 |
| Hudson Headwaters Pace | Medicare | $56.36 |
| Scan Health Plan Mcr Ipa Meritage Oon | Medicare | $56.36 |
| Highmark Health Options Dual Plan | Medicare | $56.36 |
| Perennial Advantage | Medicare | $56.36 |
| Php Medicare | Medicare | $56.36 |
| Wellpoint Medicare Advantage | Wellpoint Medicare Advantage | $57.49 |
| Health Safety Net | Medicaid Iowa | $74.41 |
| Idaho Womens Health Check | Medicaid Iowa | $74.41 |
| Fresno County Ccs | Medicaid Iowa | $74.41 |
| Cmh Macomb | Medicaid Iowa | $74.41 |
| Can Community Health Inc | Medicaid Iowa | $74.41 |
| Id County Ada | Medicaid Iowa | $74.41 |
| Bcccp-Michigan | Medicaid Iowa | $74.41 |
| Hap Medicaid | Medicaid Iowa | $74.41 |
| Mdwise | Medicaid Iowa | $74.41 |
| Mclaren Health Medicaid | Medicaid Iowa | $74.41 |
| Iowa Total Care | Iowa Total Care Medicaid | $75.90 |
| Molina Medicaid | Molina Medicaid | $76.27 |
| Oscar | Oscar | $108 |
| Centivo | Centivo | $115 |
| Claimdoc | Claimdoc | $120 |
| Global Excel | Global Excel | $130 |
| Allied Benefit Systems | Midlands Choice | $183 |
| Auxiant | Midlands Choice | $183 |
| Newton Correctional Facility | Newton Correctional Facility | $196 |
| Stephenson Cty Health | Stephenson Cty Health | $216 |
| Genex Wc | Genex Workers Comp | $226 |
Inpatient
$503cash price (self-pay)
$503list price
$39.41–$503range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Rx Allwin | Medicare | $56.36 |
| Triwest Health Alliance | Tricare | $61.77 |
| Aetna Medicaid | Aetna Medicaid | $66.97 |
| Molina Medicaid | Molina Ne Medicaid Advantage | $71.38 |
| Trilogy Medicaid | Medicaid Iowa | $74.41 |
| Allwell Medicaid Advantage | Medicaid Iowa | $74.41 |
| Meridian Medicaid | Medicaid Iowa | $74.41 |
| Family Health Network | Medicaid Iowa | $74.41 |
| Cigna Medicaid Advantage | Medicaid Iowa | $74.41 |
| Blue Cross - In (Anthem) Medicaid Advantage | Medicaid Iowa | $74.41 |
| United Healthcare Medicaid | Medicaid Iowa | $74.41 |
| Hennepin Health | Medicaid Iowa | $74.41 |
| Lakeland Care Inc | Medicaid Iowa | $74.41 |
| Icare Medicaid | Medicaid Iowa | $74.41 |
| County Care Medicaid | Medicaid Iowa | $74.41 |
| Childrens Comm Health Plan | Medicaid Iowa | $74.41 |
| Texas Children'S Health Plan | Medicaid Iowa | $74.41 |
| Tufts Health Public Plans | Medicaid Iowa | $74.41 |
| Blue Cross - Nm Medicaid Advantage | Medicaid Iowa | $74.41 |
| Molina Medicaid | Molina Medicaid | $76.27 |
| Wellpoint | Wellpoint Medicaid Advantage | $76.64 |
| Amps | Amps | $77.64 |
| Centivo | Centivo | $115 |
| Claimdoc | Claimdoc | $120 |
| Blue Cross - Mn | Wellmark BCBS | $132 |
| Blue Cross - Wi (Anthem) | Wellmark BCBS | $132 |
| Blue Cross - IL | Wellmark BCBS | $132 |
| Kaiser Domestic | Wellmark BCBS | $132 |
| Blue Cross - Ia (Wellmark) | Wellmark BCBS | $132 |
| Velocity | Velocity | $135 |
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All common services at MercyOne West Des Moines Medical Center