Upper GI endoscopy with biopsy at IU Health Bloomington Hospital. CPT 43239.
What IU Health Bloomington Hospital publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$1,457cash price (self-pay)
$5,918list price
$153–$9,652range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Elevance Health | All Managed Medicare - In network | $963 |
| Humana | All Managed Medicare HMO | $963 |
| Zing Health | All Managed Medicare | $963 |
| Health Alliance | HMO/PPO Managed Medicare | $963 |
| Indiana University Health | All Managed Medicare | $963 |
| Aetna | All Managed Medicare | $963 |
| United Healthcare | All Managed Medicare | $963 |
| Elevance Health | All Managed Medicare - Out of network | $963 |
| Humana | All Managed Medicare PPO | $982 |
| Wellcare by Allwell | All Managed Medicare | $982 |
| Elevance Health | HMO - Anthem Pathway Essentials | $1,059 |
| United Healthcare | ASO | $1,300 |
| Caresource | All Marketplace Plans | $1,445 |
| Ambetter | All HMO Marketplace Plans | $1,589 |
| Elevance Health | All Managed Medicaid | $2,274 |
| United Healthcare | All Managed Medicaid | $2,274 |
| Managed Health Services | All Government Medicaid | $2,274 |
| Caresource | All Managed Medicaid | $2,274 |
| Caresource | All Government Medicaid HIP | $2,274 |
| Elevance Health | All Government Medicaid HIP | $2,274 |
| Managed Health Services | All Government Medicaid HIP | $2,274 |
| SIHO Insurance Services | ASO - Smithville | $2,408 |
| Encore Health Network | EPO - Elite+ Plans | $2,408 |
| SIHO Insurance Services | HMO/POS Plans | $4,826 |
| Sagamore Health Network/Cigna | PPO - DRG Plans | $4,826 |
| Encore Health Network | PPO | $4,826 |
| SIHO Insurance Services | All PPO Plans | $4,826 |
| Sagamore Health Network/Cigna | PPO - NON-DRG | $4,826 |
| SIHO Insurance Services | PPO - Union Health | $4,826 |
| Cigna | PPO - New Business | $4,826 |
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