Upper GI endoscopy with biopsy at Hammond-henry Hospital. CPT 43239.
What Hammond-henry Hospital publishes for this service, straight from its standard-charges file, last updated January 22, 2026.
Outpatient / ER
$1,204cash price (self-pay)
$1,338list price
$49.00–$2,301range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna-All Plans | Cigna-All Plans | $49.00 |
| Multiplan Phcs Adult | Multiplan Phcs Adult | $90.00 |
| Multiplan Phcs Pediatric | Multiplan Phcs Pediatric | $90.00 |
| Tricare-All Plans | Tricare-All Plans | $113 |
| Humana Mcare Adv | Humana Mcare Adv | $125 |
| United Healthcare Mcare Adv | United Healthcare Mcare Adv | $125 |
| Aetna Mcare Advan | Aetna Mcare Advan | $125 |
| Health Alliance Mcare Adv | Health Alliance Mcare Adv | $125 |
| BCBS Blue Choice | BCBS Blue Choice | $140 |
| BCBS PPO | BCBS PPO | $140 |
| BCBS Traditional-All Other Plans | BCBS Traditional-All Other Plans | $140 |
| Health Alliance-All Other Plans | Health Alliance-All Other Plans | $163 |
| Ambetter-All Plans | Ambetter-All Plans | $188 |
| Quad City Community Hc-All Plans | Quad City Community Hc-All Plans | $189 |
| United Healthcare-All Other Plans | United Healthcare-All Other Plans | $201 |
| Multiplan Pponext | Multiplan Pponext | $213 |
| Springfield Armory-All Plans | Springfield Armory-All Plans | $245 |
| Multiplan-All Other Plans | Multiplan-All Other Plans | $251 |
| Wellmark Of Ia-All Plans | Wellmark Of Ia-All Plans | $263 |
| Aetna-All Other Plans | Aetna-All Other Plans | $937 |
| Multiplan Integrated Hp | Multiplan Integrated Hp | $1,004 |
| Aetna First Health | Aetna First Health | $1,004 |
| OSF Direct Access Network-All Plans | OSF Direct Access Network-All Pl | $1,070 |
| Corvel-All Plans | Corvel-All Plans | $1,204 |
| Hfn-All Plans | Hfn-All Plans | $1,204 |
| Multiplan Beech Street | Multiplan Beech Street | $1,204 |
| Usa Mco-All Plans | Usa Mco-All Plans | $1,204 |
| Healthsmart Pediatric | Healthsmart Pediatric | $1,204 |
| Healthsmart Adult-All Other Plans | Healthsmart Adult-All Other Plans | $1,204 |
| Humana Choice Care Adult-All Other Plans | Humana Choice Care Adult-Al | $1,204 |
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