Upper GI endoscopy with biopsy at IU Health White Memorial Hospital. CPT 43239.
What IU Health White Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$1,845cash price (self-pay)
$5,918list price
$153–$9,652range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Self-Pay | Other - Self-Pay | $1,845 |
| Managed Health Services | All Government Medicaid | $2,274 |
| 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 HIP | $2,274 |
| Elevance Health | All Government Medicaid HIP | $2,274 |
| Caresource | All Government Medicaid HIP | $2,274 |
| Suburban Health Organization | PPO - Direct | $3,107 |
| Suburban Health Organization | PPO - Witham Health Services | $3,107 |
| Aetna | POS - Cox Medical Plans | $3,184 |
| United Healthcare | All Managed Care | $3,404 |
| Aetna | PPO - First Health | $3,432 |
| Deaconess Health System | All Managed Care | $3,432 |
| Community Health Direct | HMO - LaPorte Regional Plans | $3,492 |
| Unified Group Services | HMO | $3,669 |
| Lutheran Health Network | All Managed Care | $4,143 |
| Parkview Health | EPO | $4,267 |
| Sagamore Health Network/Cigna | PPO - DRG Plans | $4,826 |
| Sagamore Health Network/Cigna | PPO - NON-DRG | $4,826 |
| SIHO Insurance Services | All PPO Plans | $4,826 |
| Encore Health Network | PPO | $4,826 |
| SIHO Insurance Services | HMO/POS Plans | $4,826 |
| SIHO Insurance Services | PPO - Union Health | $4,826 |
| Cigna | HMO - Open Access | $4,826 |
| Cigna | HMO/POS - Arnett Hospital Plans | $4,826 |
| Cigna | PPO | $4,826 |
| Elevance Health | All PPO | $4,826 |
| Elevance Health | All Traditional Plans | $4,826 |
| Elevance Health | All HMO/POS | $4,826 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.