Upper GI endoscopy with biopsy at Providence Medical Center. CPT 43239.
What Providence Medical Center publishes for this service, straight from its standard-charges file, last updated March 17, 2026.
Outpatient / ER
$854cash price (self-pay)
$4,311list price
$294–$3,983range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Traditional Medicaid | Traditional Medicaid | $294 |
| UHC | UHC Medicaid | $294 |
| Celtic | Celtic Medicaid | $300 |
| Healthy Blue | Healthy Blue Medicaid (01/01/2025 to 12/31/2026) | $300 |
| Aetna | Aetna Medicaid Adjusted Rate | $300 |
| COMP ALLIANCE - FKA COMPRESULTS Worker Compensation | COMP ALLIANCE - | $674 |
| Aetna | Aetna Medicare | $854 |
| Cigna | Cigna Healthspring | $854 |
| Health Net Federal Services - Tricare | Health Net Federal Services - | $854 |
| Midland Care Connection | Midland Care Connection | $854 |
| Traditional Medicare | Traditional Medicare | $854 |
| Tricare | Tricare | $854 |
| UHC | UHC Medicare | $854 |
| UHC | UHC Va Ccn | $854 |
| Celtic | Celtic Medicare | $897 |
| Healthy Blue | Healthy Blue Medicare | $897 |
| Kansas Superior Select | Kansas Superior Select | $897 |
| Corizon | Corizon | $1,111 |
| Celtic | Home State Health Plan Ins Exchange | $1,154 |
| Employer Direct Healthcare | Employer Direct Healthcare Commercial | $1,196 |
| UHC | UHC Commercial Exchange | $1,196 |
| Well Path Prison | Well Path Prison | $1,196 |
| Centurion | Centurion | $1,282 |
| Naphcare | Naphcare | $1,324 |
| BCBS | BCBS Exchange | $1,367 |
| Celtic | Celtic Ins Exchange | $1,367 |
| OHA Networks | OHA NETWORKS WC | $1,442 |
| Worker Compensation | Worker Compensation | $1,487 |
| BCBS | BCBS Select | $1,581 |
| Aetna | Aetna Commercial | $2,488 |
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