Upper GI endoscopy with biopsy at Saint John Hospital. CPT 43239.
What Saint John Hospital publishes for this service, straight from its standard-charges file, last updated March 17, 2026.
Outpatient / ER
$854cash price (self-pay)
$4,946list price
$294–$3,956range 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 |
| BCBS | BCBS Commercial PPO Value Blue | $577 |
| Comp Alliance Workers Comp | Comp Alliance | $674 |
| Aetna | Aetna Medicare | $854 |
| Cigna | Cigna Healthspring | $854 |
| Ever north FKA Cigna Behavioral Health | Ever north FKA Cigna Behavior | $854 |
| Health Net Federal Service (Tricare) | Health Net Federal Service | $854 |
| Midland Care Connection | Midland Care Connection Medicare | $854 |
| Traditional Medicare | Traditional Medicare | $854 |
| Tricare | Tricare | $854 |
| UHC | UHC Medicare | $854 |
| UHC | UHC Va Ccn | $854 |
| Kansas Superior Select | Kansas Superior Medicare | $872 |
| Celtic | Celtic Medicare | $897 |
| Healthy Blue | Healthy Blue Medicare | $897 |
| BCBS | BCBS Commercial PPO Blue Choice | $1,096 |
| BCBS | BCBS Commercial Traditional | $1,153 |
| Celtic | Home State Health Plan Ins Exchange | $1,154 |
| Corizon | Corizon | $1,196 |
| Employer Direct Healthcare | Employer Direct Healthcare Commercial | $1,196 |
| UHC | UHC Commercial Exchange | $1,196 |
| Well Path | WellPath | $1,196 |
| Centurion | Centurion | $1,282 |
| Naphcare | Naphcare | $1,324 |
| Celtic | Celtic Commercial Exchange | $1,367 |
| OHA Networks | OHA NETWORKS WC | $1,442 |
| Worker Compensation | Worker Compensation | $1,487 |
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