Upper GI endoscopy with biopsy at Northwest Health - Porter. CPT 43239.
What Northwest Health - Porter publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$4,105cash price (self-pay)
$15,204list price
$116–$12,771range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| One Call | One Call Care Diagnostics WC | $116 |
| Veterans Eval Services | Veterans Eval Services | $331 |
| Aetna | Aetna HMO/POS | $731 |
| NODE Tricare | NODE Tricare | $912 |
| Align Network | Align Network | $1,535 |
| Anthem | Anthem IN Medicaid | $2,274 |
| CareSource | Caresource HHW IN Medicaid | $2,274 |
| CareSource | CareSource IN HIP | $2,274 |
| Humana PathWays IN Medicaid | Humana PathWays IN Medicaid | $2,274 |
| Indiana Medicaid | IN Medicaid | $2,274 |
| Indiana Medicaid Non Par | IN Medicaid Non Par | $2,274 |
| MHS | MHS HCC IN Medicaid | $2,274 |
| Managed Health Services | MHS HHW IN Medicaid | $2,274 |
| Managed Health Services | MHS IN HIP | $2,274 |
| UHC | UHC HCC IN Medicaid | $2,274 |
| UHC PathWays IN Medicaid | UHC PathWays IN Medicaid | $2,274 |
| United Healthcare | UHC APA | $3,591 |
| United Healthcare | UHC PPO | $3,591 |
| Lutheran Preferred CHS Employees | Lutheran Preferred CHS Employees | $3,649 |
| Self Pay | Self Pay | $4,105 |
| Cigna | Cigna ALL | $4,227 |
| Physicians Health Plan | PHP Options | $5,826 |
| PHP Freedom | PHP Freedom Network | $6,281 |
| Sagamore Health Network | Sagamore Indiana Financial | $6,720 |
| Lutheran Preferred | Lutheran Preferred Fixed 2 | $6,842 |
| Aetna | Aetna PPO | $7,343 |
| First Health Coventry | First Health | $7,450 |
| Sagamore Health Network | Sagamore Anthem Groups | $7,480 |
| Encore PPO | Encore Combined PPO | $7,602 |
| Lutheran Preferred | Lutheran Preferred Exclusive Plus | $7,602 |
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