Upper GI endoscopy with biopsy at UnityPoint Health - Iowa Lutheran Hospital. CPT 43239.
What UnityPoint Health - Iowa Lutheran Hospital publishes for this service, straight from its standard-charges file, last updated January 28, 2026.
Outpatient / ER
$914cash price (self-pay)
$3,069list price
$124–$2,282range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellmark Blue Cross and Blue Shield | HMO | $263 |
| Wellmark UPH Self-Funded | Commercial | $263 |
| Wellmark Blue Cross and Blue Shield | PPO | $310 |
| Aetna | Medicare Advantage | $508 |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $509 |
| Molina | Medicare Advantage | $509 |
| Amerivantage | Medicare Advantage | $524 |
| United Healthcare | Medicare Advantage | $524 |
| Humana | Medicare Advantage | $524 |
| Health Partners Open Network | Commercial | $868 |
| Amerigroup | Managed Medicaid | $903 |
| Iowa Total Care | Managed Medicaid | $903 |
| Aetna | HMO | $1,107 |
| Cigna/Midlands | Commercial | $1,247 |
| Aetna | PPO | $1,279 |
| United Healthcare | PPO | $1,359 |
| United Healthcare | HMO | $1,359 |
| Medica Exchange Inspire | Commercial | $1,664 |
| Medica Exchange Insure | Commercial | $1,863 |
Inpatient
$3,997cash price (self-pay)
$4,996list price
$2,163–$2,163range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna/Midlands | Commercial | $2,163 |
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All common services at UnityPoint Health - Iowa Lutheran Hospital