Upper GI endoscopy with biopsy at Memorial Hospital of South Bend. CPT 43239.
What Memorial Hospital of South Bend publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$526–$3,049range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| McLaren | MI Medicaid | $526 |
| UHC | MI Medicaid | $526 |
| Anthem | Commercial (Granger) | $707 |
| Aetna | Medicare Advantage | $982 |
| Anthem | Exchange | $982 |
| Anthem | Medicare Advantage | $982 |
| Humana | Medicare Advantage | $982 |
| PACE | Medicare | $982 |
| UHC | Medicare Advantage | $982 |
| Devoted Healthcare | Medicare Advantage | $1,031 |
| Plain Church | Commercial | $1,473 |
| Caresource | Exchange | $1,571 |
| MHS | Exchange | $1,768 |
| Anthem | Workers Compensation | $1,866 |
| Anthem | IN Medicaid HCC | $2,274 |
| Anthem | IN Medicaid HHW | $2,274 |
| Anthem | IN Medicaid HIP | $2,274 |
| Anthem | Pathways for Aging | $2,274 |
| Caresource | IN Medicaid HHW | $2,274 |
| Caresource | IN Medicaid HIP | $2,274 |
| Humana | Pathways for Aging | $2,274 |
| MHS | IN Medicaid HCC | $2,274 |
| MHS | IN Medicaid HHW | $2,274 |
| MHS | IN Medicaid HIP | $2,274 |
| MdWise | IN Medicaid HHW | $2,274 |
| MdWise | IN Medicaid HIP | $2,274 |
| UHC | IN Medicaid HCC | $2,274 |
| UHC | Pathways for Aging | $2,274 |
| Anthem | HealthSync | $2,592 |
| Anthem | Commercial (excludes Granger) | $3,049 |
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