Upper GI endoscopy with biopsy at IU Health Jay Hospital. CPT 43239.
What IU Health Jay Hospital publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$2,648cash price (self-pay)
$5,918list price
$153–$9,652range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Caresource | All Managed Medicaid | $2,274 |
| United Healthcare | All Managed Medicaid | $2,274 |
| Elevance Health | All Managed Medicaid | $2,274 |
| Managed Health Services | All Government Medicaid | $2,274 |
| Elevance Health | All Government Medicaid HIP | $2,274 |
| Managed Health Services | All Government Medicaid HIP | $2,274 |
| Caresource | All Government Medicaid HIP | $2,274 |
| Suburban Health Organization | PPO - Direct | $3,107 |
| Deaconess Health System | All Managed Care | $3,432 |
| Community Health Direct | HMO - LaPorte Regional Plans | $3,492 |
| Parkview Health | HMO - Employee Plans | $3,657 |
| Unified Group Services | HMO | $3,669 |
| Lutheran Health Network | All Managed Care | $4,143 |
| United Healthcare | All Managed Care | $4,199 |
| Parkview Health | EPO | $4,267 |
| Aetna | PPO - First Health | $4,320 |
| Aetna | PPO - NAP | $4,320 |
| Lutheran Preferred | All PPO Plans | $4,734 |
| Sagamore Health Network/Cigna | PPO - NON-DRG | $4,826 |
| SIHO Insurance Services | HMO/POS Plans | $4,826 |
| Sagamore Health Network/Cigna | PPO - DRG Plans | $4,826 |
| SIHO Insurance Services | All PPO Plans | $4,826 |
| Encore Health Network | PPO | $4,826 |
| Cigna | HMO - Open Access | $4,826 |
| Cigna | PPO | $4,826 |
| Cigna | PPO - New Business | $4,826 |
| Cigna | HMO | $4,826 |
| Elevance Health | All Traditional Plans | $4,826 |
| Elevance Health | All HMO/POS | $4,826 |
| Elevance Health | All PPO | $4,826 |
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