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Upper GI endoscopy with biopsy at Aspirus Keweenaw Hospital. CPT 43239.

What Aspirus Keweenaw Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.

Outpatient / ER

$1,581cash price (self-pay)
$2,434list price
$67.02–$1,156range insurers pay
Insurance planNegotiated rate
Tricare East | Tricare Plans$67.02
Upper Pennisula Health Plan | Michigan Medicaid$73.14
Upper Pennisula Health Plan | Michigan Medicaid Health Link$103
Humana | Humana Medicare Ppo/Pos/Hmo Network Plans$122
Blue Cross Blue Shield Of Michigan | Blue Care Network Medicare Advant$131
United Healthcare Of Wisconsin, Inc. | Va Community Care Network$132
Blue Cross Blue Shield Of Michigan | Blue Cross Blue Shield Of Michiga$210
Blue Cross Blue Shield Of Michigan | Blue Care Network$221
Aspirus Health Plan, Inc. | Aspirus Health Plan Hmo/Pos$413
United Healthcare Of Wisconsin, Inc. | United Healthcare Hmo/Ppo/Pos/E$440
Cigna | Cigna Ppo And Open Access Plus Benefit Plans$1,156
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All common services at Aspirus Keweenaw Hospital