Upper GI endoscopy with biopsy at Saint Joseph Regional Medical Center-Plymouth Campus. CPT 43239.
What Saint Joseph Regional Medical Center-Plymouth Campus publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$301cash price (self-pay)
$301list price
$32.36–$3,388range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid - Mi | Medicaid | $43.67 |
| Rx Allwin | Medicare | $56.97 |
| Molina Medicare Advantage | Medicare | $56.97 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $56.97 |
| Blue Cross - In (Anthem) Medicare Advantage | Anthem BCBS Medicare Adv | $56.97 |
| Blue Cross Complete - Mi | Medicaid | $62.11 |
| Priority Health Medicaid | Medicaid | $62.11 |
| Molina Medicaid | Medicaid | $62.11 |
| Meridian Medicaid | Medicaid | $62.11 |
| United Healthcare Medicaid | Medicaid | $62.11 |
| Blue Care Network | Anthem BCBS | $158 |
| Blue Cross - Az | Anthem BCBS | $158 |
| Blue Cross - Ak (Premera) | Anthem BCBS | $158 |
| Blue Cross - Al | Anthem BCBS | $158 |
| Blue Cross - Sd (Wellmark) | Anthem BCBS | $158 |
| Blue Shield - Pa (Highmark) | Anthem BCBS | $158 |
| Blue Cross - Pa (Capital) | Anthem BCBS | $158 |
| Blue Cross - Oh (Anthem) | Anthem BCBS | $158 |
| Blue Cross - De (Highmark) | Anthem BCBS | $158 |
| Blue Cross - Ct (Anthem) | Anthem BCBS | $158 |
| Blue Cross - Co (Anthem) | Anthem BCBS | $158 |
| Blue Shield - CA | Anthem BCBS | $158 |
| Blue Cross - CA (Anthem) | Anthem BCBS | $158 |
| Blue Cross - Ar | Anthem BCBS | $158 |
| Blue Cross - Ks | Anthem BCBS | $158 |
| Blue Cross - IL Alternate | Anthem BCBS | $158 |
| Blue Cross - Ne | Anthem BCBS | $158 |
| Blue Cross - Sc | Anthem BCBS | $158 |
| Blue Cross - Ri | Anthem BCBS | $158 |
| Blue Cross - Wv (Highmark) | Anthem BCBS | $158 |
Inpatient
$389cash price (self-pay)
$389list price
$43.67–$389range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Rx Allwin | Medicare | $56.97 |
| Molina Medicare Advantage | Medicare | $56.97 |
| Medstar Medicare Advantage | Medicare | $56.97 |
| Martins Point Generations Advantage | Medicare | $56.97 |
| Harvard Pilgrim Stride Medicare | Medicare | $56.97 |
| Caresource Medicare | Medicare | $56.97 |
| Johns Hopkins Advantage Md | Medicare | $56.97 |
| Blue Shield - NY Highmark Western Medicare Advantage | Medicare | $56.97 |
| Michigan Complete Health | Medicare | $56.97 |
| Lasso Healthcare Msa | Medicare | $56.97 |
| Total Healthcare Medicare Snp | Medicare | $56.97 |
| Blue Shield - NY Highmark Northeastern Medicare Advantage | Medicare | $56.97 |
| Keystone First Chc Medicare Advantage | Medicare | $56.97 |
| Pace Cny | Medicare | $56.97 |
| Huron Valley Pace | Medicare | $56.97 |
| Aetna Medicare Assure Premier HMO D-Snp | Medicare | $56.97 |
| Champion Health Plan Mcr Advantage | Medicare | $56.97 |
| Wc North American Rishces | Workers Comp | $58.14 |
| Wc Guarantee Insurance | Workers Comp | $58.14 |
| Caresource Medicaid | Medicaid | $62.11 |
| Caresource Medicaid | Mhs Hip Medicaid | $62.11 |
| Tenncare | Medicaid | $62.11 |
| Vaya Health Lme | Medicaid | $62.11 |
| Tufts Health Public Plans | Medicaid | $62.11 |
| Blue Cross - De (Highmark) Medicaid Advantage | Medicaid | $62.11 |
| Childrens Medical Center Health Plan Managed Medicaid | Medicaid | $62.11 |
| Childrens Medical Services Title 19 | Medicaid | $62.11 |
| Jai Medical System | Medicaid | $62.11 |
| Community Benefit Health | Medicaid | $62.11 |
| Highmark Wholecare Medicaid | Medicaid | $62.11 |
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All common services at Saint Joseph Regional Medical Center-Plymouth Campus