Upper GI endoscopy with biopsy at Mercy Hospital. CPT 43239.
What Mercy Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$301cash price (self-pay)
$301list price
$43.67–$2,609range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Delta Dental Nj | Medicaid | $50.64 |
| Kaiser Permanente Medicaid Advantage | Medicaid | $50.64 |
| Rx 340b Pass Along | Medicaid | $50.64 |
| Idaho Womens Health Check | Medicaid | $50.64 |
| Wi Womens Wellness | Medicaid | $50.64 |
| Nebraska Total Care | Medicaid | $50.64 |
| Molina Medicare Advantage | Medicare | $61.23 |
| Rx Allwin | Medicare | $61.23 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $61.23 |
| Wellcare Medicare | Wellcare Medicare Advantage | $61.23 |
| Tufts Medicare Advantage | Tufts Medicare Advantage | $61.23 |
| Lifecircles Pace | Medicare | $61.23 |
| Clover Health | Medicare | $61.23 |
| Health New England Medicare Advantage | Health New England Medicare Ad | $61.84 |
| Connecticare Vip Medicare Advantage | Connecticare Medicare Advantage | $63.63 |
| Carepartners Of Connecticut Medicare Advantage | Carepartners Medicare | $64.91 |
| Commonwealth Care Alliance Medicare | Cca Medicare Advantage | $66.74 |
| Fallon Health Medicare Advantage | Fallon Navicare Medicare Advantage | $69.35 |
| Wc Memic | Workers Comp | $93.93 |
| Wc Emc Insurance Company | Workers Comp | $93.93 |
| Wc Peerless | Workers Comp | $93.93 |
| Wc Intercare Insurance | Workers Comp | $93.93 |
| Wc Smile Lodge | Workers Comp | $93.93 |
| Wc Sheakley Unicomp | Workers Comp | $93.93 |
| Wc Triad Group | Workers Comp | $93.93 |
| Wc Taconic Farms | Workers Comp | $93.93 |
| Wc Icw Group | Workers Comp | $93.93 |
| Wc Mercy Workcare | Workers Comp | $93.93 |
| Wc Key Ins & Benefit Solutions | Workers Comp | $93.93 |
| Wc Tyson | Workers Comp | $93.93 |
Inpatient
$530cash price (self-pay)
$530list price
$43.67–$451range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Superior Health | Medicaid | $50.64 |
| Independent Care Medicaid | Medicaid | $50.64 |
| Parkland Community Health Plan | Medicaid | $50.64 |
| Mclaren Health Medicaid | Medicaid | $50.64 |
| Mdwise | Medicaid | $50.64 |
| Harbor Health | Medicaid | $50.64 |
| Amerigroup Medicaid | Medicaid | $50.64 |
| Bmc Healthnet | Medicaid | $50.64 |
| Washtenaw Health Plan | Medicaid | $50.64 |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | Medicaid | $50.64 |
| Wellsense Health Plan | Wellsense Silver Medicaid | $58.24 |
| Rx Allwin | Medicare | $61.23 |
| Molina Medicare Advantage | Medicare | $61.23 |
| Clover Health | Medicare | $61.23 |
| Wellsense Health Plan | Wellsense Medicaid | $75.96 |
| Wc Rev Claims | Workers Comp | $93.93 |
| Blue Cross - MA | BCBS MA Indemnity | $163 |
| Blue Cross - MA | BCBS MA PPO | $163 |
| Blue Cross - NY (Excellus) | BCBS HMO | $163 |
| Blue Shield - NY Highmark Western | BCBS HMO | $163 |
| Blue Cross - Nj (Horizon) | BCBS HMO | $163 |
| Blue Cross - Nm | BCBS HMO | $163 |
| Blue Cross - NY (Anthem) | BCBS HMO | $163 |
| Blue Cross - Ok | BCBS HMO | $163 |
| Blue Cross - Or (Regence) | BCBS HMO | $163 |
| Blue Cross - Pa (Independence) | BCBS HMO | $163 |
| Blue Shield - NY Highmark Northeastern | BCBS HMO | $163 |
| Blue Cross - Nc | BCBS HMO | $163 |
| Blue Cross - Ut (Regence) | BCBS HMO | $163 |
| Blue Cross - Vt | BCBS HMO | $163 |
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