Upper GI endoscopy with biopsy at UnityPoint Health - St. Luke's Hospital. CPT 43239.
What UnityPoint Health - St. Luke's Hospital publishes for this service, straight from its standard-charges file, last updated January 28, 2026.
Outpatient / ER
$914cash price (self-pay)
$1,143list price
$124–$2,334range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellmark Blue Cross and Blue Shield | HMO | $263 |
| Wellmark UHP Self-Funded | Commercial | $263 |
| Wellmark Blue Cross and Blue Shield | PPO | $310 |
| Cigna/Midlands | Commercial | $331 |
| Aetna | Medicare Advantage | $505 |
| Molina | Medicare Advantage | $506 |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $506 |
| United Healthcare | Medicare Advantage | $521 |
| Amerivantage | Medicare Advantage | $521 |
| Humana | Medicare Advantage | $521 |
| Amerigroup | Managed Medicaid | $825 |
| Iowa Total Care | Managed Medicaid | $825 |
| Health Partners Open Network | Commercial | $888 |
| Aetna | HMO | $1,080 |
| Aetna | PPO | $1,153 |
| United Healthcare | HMO | $1,385 |
| United Healthcare | PPO | $1,385 |
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All common services at UnityPoint Health - St. Luke's Hospital