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Upper GI endoscopy with biopsy at SSM Health Good Samaritan Hospital - Mt. Vernon. CPT 43239.

What SSM Health Good Samaritan Hospital - Mt. Vernon publishes for this service, straight from its standard-charges file, last updated April 1, 2026.

Outpatient / ER

—cash price (self-pay)
—list price
$972–$1,021range insurers pay
Insurance planNegotiated rate
Molina | Dual Eligible Medicare/Medicaid$972
UnitedHealthCare | Medicare Managed Care Plan$1,011
Essence Healthcare | Medicare Managed Care Plan$1,021
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All common services at SSM Health Good Samaritan Hospital - Mt. Vernon