Upper GI endoscopy with biopsy at Franciscan Health Dyer. CPT 43239.
What Franciscan Health Dyer publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$6,116cash price (self-pay)
$22,652list price
$960–$5,000range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare [1099] | Medicare-Nir-Dyer | $960 |
| Medicare Replacement [2003] | Medicare-Nir-Dyer | $960 |
| Workers Comp [1172] | Workers Comp - Nir - Dyer | $1,919 |
| Medicaid Illinois [1091] | In Mcd-Nir-Dyer | $2,274 |
| Medicaid [1092] | In Mcd-Nir-Dyer | $2,274 |
| Mdwise [1175] | In Mcd-Nir-Dyer | $2,274 |
| Managed Health Services [1302] | In Mcd Dyer Mhs 112% Of In Mcd | $2,274 |
| Alt Traditional Medicaid Secondary [109200] | In Mcd-Nir-Dyer | $2,274 |
| Blue Cross [1014] | Anthem Franciscan Employee Copps- All Locations | $2,320 |
| Medicaid [1092] | In Mcd Dyer Caresource 120% Of In Mcd | $2,728 |
| Blue Cross [1014] | Anthem Healthsync POS With Copps - Dyer | $2,735 |
| Blue Cross [1014] | Anthem Blue Access PPO With Copps - Dyer | $3,056 |
| Unicare [1150] | Anthem Blue Access PPO With Copps - Dyer | $3,056 |
| Blue Cross Illinois [1210] | Anthem Blue Access PPO With Copps - Dyer | $3,056 |
| Blue Cross Out Of State [1211] | Anthem Blue Access PPO With Copps - D | $3,056 |
| Alt Payer Illinois Blue Cross [121002] | Anthem Blue Access PPO With C | $3,056 |
| Alt Payer Indiana Blue Cross [121003] | Anthem Blue Access PPO With Co | $3,056 |
| Aetna [1005] | Aetna-Nid-Dyer-Munster-Crn Point | $5,000 |
| Managed Care [2000] | Aetna-Nid-Dyer-Munster-Crn Point | $5,000 |
| Commercial [2001] | Aetna-Nid-Dyer-Munster-Crn Point | $5,000 |
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