Upper GI endoscopy with biopsy at Allen County Regional Hospital. CPT 43239.
What Allen County Regional Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$1,020cash price (self-pay)
$1,700list price
$234–$1,700range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare Replacement Plan [1250] | Aetna Medicare Advantage Legacy HMO | $833 |
| Medicare Replacement Plan [1250] | Aetna Medicare Advantage Legacy PPO | $833 |
| Medicare Replacement Plan [1250] | Bc Out Of Area Medicare Advantage [ | $833 |
| Medicare Replacement Plan [1250] | Humana Medicare [12505] | $833 |
| Medicare Replacement Plan [1250] | Medica Prime Solution Medicare Cost | $833 |
| Medicare Replacement Plan [1250] | Mo Health Advantage Medicare Replac | $833 |
| Medicare Replacement Plan [1250] | Optum UHC Medicare Advantage [12508 | $833 |
| Medicare Replacement Plan [1250] | Provider Partner Health Plans [1252 | $833 |
| Medicare Replacement Plan [1250] | UHC Dual Complete Snp Ks [12521] | $833 |
| Medicare Replacement Plan [1250] | UHC Dual Complete Snp Mo [12522] | $833 |
| Medicare Replacement Plan [1250] | UHC Medicare Complete Aarp [12509] | $833 |
| Medicare Replacement Plan [1250] | UHC Medicare Gold Silver Or Choice | $833 |
| Medicare Replacement Plan [1250] | United Behavioral Health Medicare R | $833 |
| Medicare Replacement Plan [1250] | Zzzbc Kc Medicare Advantage [12517] | $833 |
| Transplants-Case Rates [5750] | Hb Medicare Replacement Transplant [57 | $833 |
| Transplants-Case Rates [5750] | Humana Commercial Transplant [57515] | $833 |
| Transplants-Case Rates [5750] | Humana Govt Transplant [57518] | $833 |
| Transplants-Case Rates [5750] | Pretransplant [57510] | $833 |
| Transplants-Case Rates [5750] | Transplant Case Rate [57508] | $833 |
| Transplants-Case Rates [5750] | Transplant Single Case Agreement [5750 | $833 |
| Commercial-Contracted [8000] | Medica Exchange [80075] | $1,043 |
| Blue Cross Blue Shield [4000] | Bc Blue Choice Allen Anderson Cushing | $1,153 |
| Blue Cross Blue Shield [4000] | Bc Cap Allen Anderson Cushing [40004] | $1,153 |
| Blue Cross Blue Shield [4000] | Bc Ks Exch HMO Allen Anderson Cushing | $1,153 |
| Blue Cross Blue Shield [4000] | Bc Out Of Area Allen Anderson Cushing | $1,153 |
| Commercial-Contracted [8000] | Chc Se Ks Luminare Employee Plan [80085 | $1,224 |
| Commercial-Contracted [8000] | Phcs Multiplan [80056] | $1,275 |
| Aetna [5000] | Aetna Local [50005] | $1,402 |
| Aetna [5000] | Aetna Meritain Local [50015] | $1,402 |
| Aetna [5000] | Aetna Meritain National [50001] | $1,402 |
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