Upper GI endoscopy with biopsy at Ann & Robert H. Lurie Children's Hospital of Chicago. CPT 43239.
What Ann & Robert H. Lurie Children's Hospital of Chicago publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,269cash price (self-pay)
$3,241list price
$551–$14,756range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare | Medicare | $551 |
| MercyCare Health | MercyCare Health - HMO/PPO | $1,199 |
| Cigna | Cigna Local Plus | $1,361 |
| Blue Cross Blue Shield | BCBS PPO | $1,478 |
| La Rabida Childrens Hospital | La Rabida Childrens Hospital | $1,621 |
| Blue Cross Blue Shield | Unified Physicians Network | $1,815 |
| Cigna | Cigna C-5 | $1,867 |
| Independent Physicians at Mercy | Independent Physicians at Mercy | $1,945 |
| Centegra | Centegra | $1,945 |
| Blue Cross Blue Shield | Northwestern Medicine Physician Network IPA | $1,945 |
| Methodist First Choice | Methodist First Choice | $2,269 |
| Imagine Health | Imagine Health | $2,269 |
| West Suburban Health Providers | West Suburban Health Providers | $2,269 |
| UI Health | UI Health | $2,269 |
| Northwest Community Healthcare | Northwest Community Healthcare | $2,269 |
| Cigna | Cigna | $2,301 |
| Shriners Hospital | Shriners Hospital | $2,431 |
| Magellan | Magellan Behavioral Health | $2,593 |
| Macneal Health | Macneal Health | $2,593 |
| Health Alliance | Health Alliance - PPO | $2,593 |
| Healthlink Inc. | Healthlink Inc. | $2,674 |
| Cofinity | Cofinity | $2,755 |
| HFN Inc | HFN - EPO | $2,755 |
| Humana | Humana | $2,755 |
| Principal Healthcare | Principal Healthcare - PPO | $2,755 |
| Preferred Health Network | Preferred Health Network - PPO | $2,852 |
| Beech Street | Beech Street - PPO | $2,917 |
| Private Health Care System | Private Health Care System - Northwestern | $2,917 |
| Employer's Coalition on Health | Employer's Coalition on Health | $2,917 |
| Security Health Plan | Security Health Plan - HMO | $2,917 |
Inpatient
$2,269cash price (self-pay)
$3,241list price
$900–$3,678range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Magellan | Magellan Behavioral Health | $900 |
| MercyCare Health | MercyCare Health - HMO/PPO | $1,199 |
| La Rabida Childrens Hospital | La Rabida Childrens Hospital | $1,621 |
| Aetna | Aetna Northwestern | $1,621 |
| Cigna | Cigna C-5 | $1,867 |
| Blue Cross Blue Shield | Dupage Medical Group | $1,945 |
| Blue Cross Blue Shield | Northwestern Medicine Physician Network IPA | $1,945 |
| Centegra | Centegra | $1,945 |
| UI Health | UI Health | $2,269 |
| Northwest Community Healthcare | Northwest Community Healthcare | $2,269 |
| Blue Cross Blue Shield | Lake County Physician Association | $2,269 |
| Health Plus | Health Plus - PHO | $2,269 |
| Advanced Physicians Association IPA | Advanced Physicians Association | $2,269 |
| St. Francis | St. Francis - IPA | $2,269 |
| West Suburban Health Providers | West Suburban Health Providers | $2,269 |
| Cigna | Cigna | $2,301 |
| Swedish Covenant Physician Partners | Swedish Covenant Physician Partn | $2,431 |
| Shriners Hospital | Shriners Hospital | $2,431 |
| Health Alliance | Health Alliance - PPO | $2,593 |
| American Psych Systems | American Psych Systems | $2,593 |
| Macneal Health | Macneal Health | $2,593 |
| Medicare | Medicare | $2,656 |
| Healthlink Inc. | Healthlink Inc. | $2,674 |
| Principal Healthcare | Principal Healthcare - PPO | $2,755 |
| Humana | Humana National POS | $2,755 |
| St. Elizabeth | St. Elizabeth - PHO | $2,755 |
| Humana | Humana | $2,755 |
| Cofinity | Cofinity | $2,755 |
| Sagamore Health Network | Sagamore Health Network - PPO | $2,852 |
| First Health | First Health | $2,852 |
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All common services at Ann & Robert H. Lurie Children's Hospital of Chicago