Upper GI endoscopy with biopsy at Franciscan Health Lafayette. CPT 43239.
What Franciscan Health Lafayette publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$2,583cash price (self-pay)
$11,688list price
$153–$4,106range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid Illinois [1091] | In Mcd-Wir-Lafayette | $153 |
| Medicaid [1092] | In Mcd-Wir-Lafayette | $153 |
| Mdwise [1175] | In Mcd-Wir-Lafayette | $153 |
| Alt Traditional Medicaid Secondary [109200] | In Mcd-Wir-Lafayette | $153 |
| Managed Health Services [1302] | In Mcd Lafayette Mhs 112% Of In Mcd | $158 |
| Medicaid [1092] | In Mcd Lafayet Caresource 120% Of In Mcd | $184 |
| Medicare [1099] | Medicare-Wir-Lafayette | $960 |
| Medicare Replacement [2003] | Medicare-Wir-Lafayette | $960 |
| Workers Comp [1172] | Workers Comp - Wir - Lafayette | $1,919 |
| Blue Cross [1014] | Anthem Franciscan Employee Copps- All Locations | $2,320 |
| Blue Cross [1014] | Anthem Healthsync HMO With Copps - Lafayette | $2,806 |
| Blue Cross [1014] | Anthem Healthsync POS With Copps - Lafayette | $3,179 |
| Blue Cross [1014] | Anthem Blue Access PPO With Copps - Lafayette | $3,552 |
| Unicare [1150] | Anthem Blue Access PPO With Copps - Lafayette | $3,552 |
| Blue Cross Illinois [1210] | Anthem Blue Access PPO With Copps - Lafay | $3,552 |
| Blue Cross Out Of State [1211] | Anthem Blue Access PPO With Copps - L | $3,552 |
| Alt Payer Illinois Blue Cross [121002] | Anthem Blue Access PPO With C | $3,552 |
| Alt Payer Indiana Blue Cross [121003] | Anthem Blue Access PPO With Co | $3,552 |
| Managed Care [2000] | Encore - Cid & Nid & Wid & Sscd | $4,106 |
| Commercial [2001] | Encore - Cid & Nid & Wid & Sscd | $4,106 |
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