Upper GI endoscopy with biopsy at Saint Alphonsus Regional Medical Center. CPT 43239.
What Saint Alphonsus Regional 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
$39.41–$12,650range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Rx Allwin | Medicare | $56.79 |
| Carefirst Medicare Advantage | Medicare | $56.79 |
| Paramount Medicare Advantage | Medicare | $56.79 |
| Cca - Zing Health | Medicare | $56.79 |
| Blue Cross - CA (Anthem) Medicare Advantage | Medicare | $56.79 |
| Core Care Select Medicare Advantage | Medicare | $56.79 |
| Health New England Medicare Advantage | Medicare | $56.79 |
| Tufts Medicare Advantage | Medicare | $56.79 |
| Univera Healthcare Medicare Advantage | Medicare | $56.79 |
| Union Health Service | Medicare | $56.79 |
| Healthfirst Medicare Advantage | Medicare | $56.79 |
| Capital District Physicians Health Plan Medicare Advantage | Medicare | $56.79 |
| Eddy Seniorcare Pace | Medicare | $56.79 |
| Care Resources Pace | Medicare | $56.79 |
| Todays Options | Medicare | $56.79 |
| Medigold Medicare Advantage | Medigold Medicare Advantage | $59.63 |
| American Health Advantage Of Idaho | American Health Medicare Advantag | $59.69 |
| Molina Medicare Advantage | Molina Medicare Advantage | $60.84 |
| Pacificsource Health Plans Medicare Advantage | Pacificsource Medicare | $63.16 |
| Tenncare | Medicaid | $98.94 |
| Amerihealth Caritas Medicaid | Medicaid | $98.94 |
| Medicaid MA Qmb | Medicaid | $98.94 |
| Blue Cross - In (Anthem) Medicaid Advantage | Medicaid | $98.94 |
| Cigna Medicaid Advantage | Medicaid | $98.94 |
| County Care Medicaid | Medicaid | $98.94 |
| Medicaid - La | Medicaid | $98.94 |
| Medicaid - Me | Medicaid | $98.94 |
| Medicaid - Ga | Medicaid | $98.94 |
| Medicaid - Id | Medicaid | $98.94 |
| Medicaid - Wy | Medicaid | $98.94 |
Inpatient
$554cash price (self-pay)
$554list price
$39.41–$499range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Rx Allwin | Medicare | $56.79 |
| Commonwealth Care Alliance | Medicare | $56.79 |
| Nascentia Health Plus | Medicare | $56.79 |
| Medicare Medical Associates Health Plans | Medicare | $56.79 |
| Highmark Health Options Dual Plan | Medicare | $56.79 |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | Medicaid | $98.94 |
| Rx 340b Pass Along | Medicaid | $98.94 |
| Can Community Health Inc | Medicaid | $98.94 |
| Mclaren Health Medicaid | Medicaid | $98.94 |
| Keystone First Chc Medicaid | Medicaid | $98.94 |
| Fallon Health Medicaid Advantage | Medicaid | $98.94 |
| Childrens Medical Services Title 19 | Medicaid | $98.94 |
| Childrens Medical Center Health Plan Managed Medicaid | Medicaid | $98.94 |
| Illinicare Health Medicaid Advantage | Medicaid | $98.94 |
| Blue Cross - Nj (Horizon) Medicaid Advantage | Medicaid | $98.94 |
| Metroplus Medicaid Advantage | Medicaid | $98.94 |
| Green Mountain Medicaid Advantage | Medicaid | $98.94 |
| Blue Cross - NY (Anthem) Medicaid Advantage | Medicaid | $98.94 |
| Cmh North Country | Medicaid | $98.94 |
| Id County Canyon | Medicaid | $98.94 |
| California Health And Wellness | Medicaid | $98.94 |
| Webtpa | Pacific Steel | $104 |
| Providence | Providence Id Cigna | $116 |
| Blue Care Network | Blue Cross | $137 |
| Healthcare Management Admin | Regence Bs Id PPO\Ppp | $145 |
| Rx Saif Opdp Wc | Workers Comp | $161 |
| Wc Winnebago Industries | Workers Comp | $161 |
| Wc Icw Group | Workers Comp | $161 |
| Wc Intercare Insurance | Workers Comp | $161 |
| Wc Paradigm | Workers Comp | $161 |
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All common services at Saint Alphonsus Regional Medical Center