Upper GI endoscopy with biopsy at Springfield Memorial Hospital. CPT 43239.
What Springfield Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 17, 2026.
Outpatient / ER
$1,900cash price (self-pay)
$1,900list price
$389–$7,724range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Alliance | Health Alliance ACA | $608 |
| BCBS Medicare Advantage | BCBS Medicare Advantage | $673 |
| Current Health Network PPO | Current Health Network PPO | $855 |
| Aetna | Aetna PPO | $870 |
| Health Alliance | Health Alliance MHS Employee Health Plan HMO | $874 |
| Blue Cross Community MMAI/Dual Eligible | Blue Cross Community MMAI/Du | $889 |
| Aetna | Aetna Medicare Advantage | $956 |
| Health Alliance | Health Alliance Coordinated Care Plan (CCP) | $988 |
| Cigna | Cigna PPO | $998 |
| PHCS/MultiPlan | PHCS Savility PPO | $1,026 |
| HealthLink | HealthLink HMO | $1,083 |
| Health Alliance | Health Alliance Self Funded | $1,100 |
| 6 Degrees Health | 6 Degrees Health | $1,140 |
| Hst | Hst | $1,140 |
| HopeTrust | HopeTrust | $1,140 |
| Humana | Humana PPO | $1,140 |
| Magellan | Magellan PPO | $1,140 |
| PHCS/MultiPlan | PHCS/MultiPlan PPO | $1,140 |
| HealthLink | HealthLink PPO | $1,197 |
| Consociate | Consociate PPO | $1,235 |
| Health Alliance | Health Alliance Gated PPO | $1,235 |
| HFN | HFN Platinum PPO | $1,235 |
| Hfn | Hfn PPO | $1,235 |
| Preferred Plan | Preferred Plan PPO | $1,425 |
| SOI McFarland | SOI McFarland PPO | $1,425 |
| SOI Rushville | SOI Rushville PPO | $1,425 |
| Coventry/Aetna | Coventry/Aetna First Health PPO | $1,444 |
| CorVel | CorVel/Core Care PPO | $1,520 |
| Methodist First Choice | Methodist First Choice PPO | $1,520 |
| Mutual Medical Plans | Mutual Medical Plans PPO | $1,615 |
Inpatient
$1,900cash price (self-pay)
$1,900list price
$760–$1,900range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Alliance | Health Alliance ACA | $760 |
| Health Alliance | Health Alliance MHS Employee Health Plan HMO | $874 |
| PHCS/MultiPlan | PHCS Savility PPO | $1,026 |
| Health Alliance | Health Alliance Gated PPO | $1,045 |
| Health Alliance | Health Alliance Self Funded | $1,100 |
| 6 Degrees Health | 6 Degrees Health | $1,140 |
| HopeTrust | HopeTrust | $1,140 |
| Hst | Hst | $1,140 |
| Humana | Humana PPO | $1,140 |
| Magellan | Magellan PPO | $1,140 |
| PHCS/MultiPlan | PHCS/MultiPlan PPO | $1,140 |
| HFN | HFN Platinum PPO | $1,235 |
| Hfn | Hfn PPO | $1,235 |
| Preferred Plan | Preferred Plan PPO | $1,425 |
| SOI McFarland | SOI McFarland PPO | $1,425 |
| SOI Rushville | SOI Rushville PPO | $1,425 |
| Methodist First Choice | Methodist First Choice PPO | $1,520 |
| Mutual Medical Plans | Mutual Medical Plans PPO | $1,615 |
| Blue Cross Blue Shield | BCBS HMO/PHAI | $1,900 |
| Blue Cross Blue Shield | BCBS PPO/Indemnity/ACA | $1,900 |
| BCBS | Blue Cross Memorial Health System | $1,900 |
| Liability | Liability | $1,900 |
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