Upper GI endoscopy with biopsy at Southeast Iowa Regional Medical Center West Burlington. CPT 43239.
What Southeast Iowa Regional Medical Center West Burlington publishes for this service, straight from its standard-charges file, last updated June 11, 2026.
Outpatient / ER
—cash price (self-pay)
$399list price
$225–$2,597range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Elap | Primary | $225 |
| Aetna | FIRST HEALTH | $236 |
| Elap | Specialty | $257 |
| Plain Church | ALL PRODUCTS | $259 |
| American Healthplan of Iowa - Midlevel | MEDICARE ADV. | $286 |
| Medicaid - Nurse Practitioner | MANAGED MEDICAID | $305 |
| Medicaid - Physician Assistant | MANAGED MEDICAID | $311 |
| United Healthcare | ALL PRODUCTS | $320 |
| Elap | Anesthesia | $322 |
| Humana | MEDICARE ADV. | $352 |
| Medicaid - Physician | MANAGED MEDICAID | $359 |
| Absolute Solutions | ALL PRODUCTS | $359 |
| First Agency | ALL PRODUCTS | $359 |
| Multiplan | ALL PRODUCTS | $359 |
| Henderson County | ALL PRODUCTS | $379 |
| American Healthplan of Iowa - MD | MEDICARE ADV. | $424 |
| Immergrun | ALL PRODUCTS | $584 |
| Wellmark Blue Cross - Anesthesiology | PPO | $709 |
| Wellmark Blue Cross - Pathologist | PPO | $709 |
| 6 Degree | ALL PRODUCTS | $741 |
| Midlands Choice | ALL PRODUCTS | $804 |
| Wellpoint (Amerigroup) | Managed Medicaid | $1,564 |
| Immugrun | All Products | $1,759 |
| Brighton Amish Church | All Products | $1,815 |
| Plain Church | All Products | $1,815 |
| 6 Degree | All Products | $2,234 |
| Wellmark Blue Cross | HMO | $2,240 |
| Midlands Choice | All Products | $2,373 |
| Wellmark Blue Cross | PPO | $2,459 |
| Geha | PPO | $2,597 |
Inpatient
—cash price (self-pay)
$2,792list price
$1,564–$2,597range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Midlands Choice | All Products | $2,513 |
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All common services at Southeast Iowa Regional Medical Center West Burlington