Upper GI endoscopy with biopsy at Veterans Memorial Hospital City Of Waukon Ia. CPT 43239.
What Veterans Memorial Hospital City Of Waukon Ia publishes for this service, straight from its standard-charges file, last updated May 11, 2026.
Outpatient / ER
$2,290cash price (self-pay)
$4,017list price
$927–$3,414range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup Mcaid - All Other Plans | Amerigroup Mcaid - All Other Plan | $927 |
| Wellmark HMO - All Other Plans | Wellmark HMO - All Other Plans | $1,067 |
| Wellmark PPO | Wellmark PPO | $1,172 |
| Amerigroup Mcr Adv | Amerigroup Mcr Adv | $1,727 |
| Iowa Total Care Exchange | Iowa Total Care Exchange | $1,727 |
| Iowa Total Care Mcr Adv | Iowa Total Care Mcr Adv | $1,727 |
| Medica Mcr Adv | Medica Mcr Adv | $1,727 |
| Quartz Mcr Adv | Quartz Mcr Adv | $1,727 |
| UHC Va Ip/Op Only | UHC Va Ip/Op Only | $1,727 |
| Humana Mcr Adv | Humana Mcr Adv | $1,727 |
| Molina Mcr Adv | Molina Mcr Adv | $1,727 |
| UHC Mcr Adv Ip/Op Only | UHC Mcr Adv Ip/Op Only | $1,727 |
| Welmark Mcr Adv | Welmark Mcr Adv | $1,727 |
| Iowa Total Care Mcaid - All Other Plans | Iowa Total Care Mcaid - All | $2,049 |
| Molina Mcaid - All Other Plans | Molina Mcaid - All Other Plans | $2,049 |
| Coventry/Aetna Mcr Adv | Coventry/Aetna Mcr Adv | $2,683 |
| Humana Comm - All Other | Humana Comm - All Other | $3,013 |
| Quartz Comm - All Other Plans | Quartz Comm - All Other Plans | $3,013 |
| Medica Comm - All Other Plans | Medica Comm - All Other Plans | $3,198 |
| UHC Comm - All Other Plans | UHC Comm - All Other Plans | $3,414 |
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All common services at Veterans Memorial Hospital City Of Waukon Ia