Upper GI endoscopy with biopsy at St. Luke's McCall Standard Charges. CPT 43239.
What St. Luke's McCall 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
$1,465–$2,425range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Commercial [1028] | Hb Mccall Va Ccn | $1,465 |
| Medicare Advantage Generic [1019] | Hb Mccall Medicare Advantage | $1,465 |
| Medicare Advantage Generic [1019] | Hb Mccall Molina Mmcp | $1,465 |
| Medicare Advantage Molina [1053] | Hb Mccall Molina Mmcp | $1,465 |
| Medicare Advantage Pacificsource [1039] | Hb Mccall Pacificsource HMO | $1,465 |
| Medicare Advantage Pacificsource [1039] | Hb Mccall Slhp Pacificsource | $1,465 |
| Medicare Advantage Regence [1016] | Hb Mccall Medicare Advantage | $1,465 |
| Veterans Affairs [1056] | Hb Mccall Va Ccn | $1,465 |
| Blue Cross/Medicare Advantage [1009] | Hb Mccall Bci True & Secure Med | $1,480 |
| Medicare Advantage Generic [1019] | Hb Mccall Molina Med Adv | $1,494 |
| Medicare Advantage Molina [1053] | Hb Mccall Molina Med Adv | $1,494 |
| Medicare Advantage Aetna [1017] | Hb Mccall Aetna Med Adv | $1,612 |
| Commercial [1028] | Hb Mccall Multiplan Primary Network | $2,021 |
| Commercial [1028] | Hb Mccall Amps | $2,147 |
| Commercial [1028] | Hb Mccall Christian Health Aid | $2,147 |
| Commercial [1028] | Hb Mccall Moda Commercial | $2,223 |
| Moda [1055] | Hb Mccall Moda Commercial | $2,223 |
| Aetna [1021] | Hb Mccall Aetna Trinity Health (St Al'S) | $2,273 |
| Commercial [1028] | Hb Mccall Northern Nevada Laborers Trust | $2,273 |
| Cigna [1062] | Hb Mccall Cigna | $2,349 |
| Commercial [1028] | Hb Mccall Cigna | $2,349 |
| Providence [1022] | Hb Mccall Cigna | $2,349 |
| Aetna [1021] | Hb Mccall Bp Aetna | $2,400 |
| Commercial [1028] | Hb Mccall Bp Aetna | $2,400 |
| Commercial [1028] | Hb Mccall First Choice Health | $2,400 |
| First Health [1064] | Hb Mccall First Choice Health | $2,400 |
| Webtpa [1071] | Hb Mccall Bp Aetna | $2,400 |
| Webtpa [1071] | Hb Mccall First Choice Health | $2,400 |
| Commercial [1028] | Hb Mccall United Healthcare | $2,425 |
| Geha [1065] | Hb Mccall United Healthcare | $2,425 |
Inpatient
$2,526cash price (self-pay)
$2,526list price
$2,223–$2,374range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Federal [1008] | Hb Mccall Bci | $2,223 |
| Blue Cross Idaho [1007] | Hb Mccall Bci | $2,223 |
| Blue Cross Out Of State [1041] | Hb Mccall Bci | $2,223 |
| Pacificsource [1020] | Hb Mccall Pacificsource PPO Voyager | $2,374 |
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