Upper GI endoscopy with biopsy at St. Luke's Boise Standard Charges. CPT 43239.
What St. Luke's Boise Standard Charges publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$2,526cash price (self-pay)
$2,526list price
$979–$2,747range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Commercial [1028] | Hb Tv Va Ccn | $979 |
| Medicare Advantage Generic [1019] | Hb Tv Medicare Advantage | $979 |
| Medicare Advantage Generic [1019] | Hb Tv Molina Mmcp | $979 |
| Medicare Advantage Molina [1053] | Hb Tv Molina Mmcp | $979 |
| Blue Cross/Medicare Advantage [1009] | Hb Tv Bci True & Secure Med Adv | $989 |
| Medicare Advantage Generic [1019] | Hb Tv Molina Med Adv | $999 |
| Medicare Advantage Molina [1053] | Hb Tv Molina Med Adv | $999 |
| Slplan Tap Mc St Lukes Health Plan [1641000001] | Hb Tv Slhp St Lukes | $1,060 |
| Blue Cross Idaho [1007] | Hb Tv Slhp Blue Cross Carepoint Qhp | $1,060 |
| Blue Cross Idaho [1007] | Hb Tv Slhp Blue Cross Large Group | $1,060 |
| Commercial [1028] | Hb Tv Slhp Mountain Health Coop | $1,060 |
| Commercial [1028] | Hb Tv Slhp Select Health | $1,060 |
| Commercial [1028] | Hb Tv Slhp Select Health Qhp | $1,060 |
| Medicare Advantage Aetna [1017] | Hb Tv Aetna Med Adv | $1,077 |
| Commercial [1028] | Hb Tv H2b | $1,895 |
| H2b [1068] | Hb Tv H2b | $1,895 |
| Aetna [1021] | Hb Tv Bp Aetna | $2,021 |
| Cigna [1062] | Hb Tv Cigna | $2,021 |
| Commercial [1028] | Hb Tv Bp Aetna | $2,021 |
| Commercial [1028] | Hb Tv Cigna | $2,021 |
| Providence [1022] | Hb Tv Cigna | $2,021 |
| Webtpa [1071] | Hb Tv Bp Aetna | $2,021 |
| Commercial [1028] | Hb Tv United Healthcare | $2,071 |
| Geha [1065] | Hb Tv United Healthcare | $2,071 |
| United Healthcare [1025] | Hb Tv United Healthcare | $2,071 |
| United Medical Resources [1051] | Hb Tv United Healthcare | $2,071 |
| Commercial [1028] | Hb Tv Ccn First Health | $2,084 |
| First Health [1064] | Hb Tv Ccn First Health | $2,084 |
| Commercial [1028] | Hb Tv Amps | $2,147 |
| Commercial [1028] | Hb Tv Christian Health Aid | $2,147 |
Inpatient
$2,526cash price (self-pay)
$2,526list price
$1,642–$2,160range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Slplan Tap Mc St Lukes Health Plan [1641000001] | Hb Tv Slhp St Lukes | $1,642 |
| Blue Cross Idaho [1007] | Hb Tv Slhp Blue Cross Carepoint Qhp | $1,642 |
| Blue Cross Idaho [1007] | Hb Tv Slhp Blue Cross Large Group | $1,642 |
| Commercial [1028] | Hb Tv Slhp Mountain Health Coop | $1,642 |
| Commercial [1028] | Hb Tv Slhp Select Health | $1,642 |
| Commercial [1028] | Hb Tv Slhp Select Health Qhp | $1,642 |
| Medicare Advantage Pacificsource [1039] | Hb Tv Slhp Pacificsource Med | $1,642 |
| Mountain Health Co-Op [1067] | Hb Tv Slhp Mountain Health Coop | $1,642 |
| Pacificsource [1020] | Hb Tv Pacificsource Navigator Large Group | $1,642 |
| Pacificsource [1020] | Hb Tv Slhp Pacificsource Navigator Qhp | $1,642 |
| Select Health [1063] | Hb Tv Slhp Select Health | $1,642 |
| Select Health [1063] | Hb Tv Slhp Select Health Qhp | $1,642 |
| St Lukes Health Plan [1046] | Hb Tv Slhp St Lukes Health Plan Large Gr | $1,642 |
| St Lukes Health Plan [1046] | Hb Tv Slhp St Lukes Health Plan Qhp | $1,642 |
| Pacificsource [1020] | Hb Tv Pacificsource PPO Voyager | $1,895 |
| Commercial [1028] | Hb Tv Multiplan Primary Network | $2,021 |
| Commercial [1028] | Hb Tv Va Ccn | $2,021 |
| Veterans Affairs [1056] | Hb Tv Va Ccn | $2,021 |
| Blue Cross Federal [1008] | Hb Tv Bci PPO Fep | $2,160 |
| Blue Cross Idaho [1007] | Hb Tv Bci PPO Fep | $2,160 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.