Upper GI endoscopy with biopsy at Essentia Health St. Mary's-Detroit Lakes. CPT 43239.
What Essentia Health St. Mary's-Detroit Lakes publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$1,988cash price (self-pay)
$3,096list price
$607–$2,663range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Primewest | Medicaid | $874 |
| Itasca Med Care | Medicaid | $938 |
| Advocare/Security Health | Medicare | $985 |
| BLUE CROSS MEDICARE ADVANTAGE CORE | Medicare | $985 |
| Freedom Blue PPO | Medicare | $985 |
| HEALTHPARTNERS CARE MSHO / MCR ADV | Medicare | $985 |
| IMCARE MSHO PCC PRIME | Medicare | $985 |
| IMCARE MSHO REF REQ | Medicare | $985 |
| MEDICA ADVANTAGE SOLUTIONS | Medicare | $985 |
| MEDICA MSHO/Dual Solutions | Medicare | $985 |
| MEDICA PRIME SOLUTION GROUP | Medicare | $985 |
| MEDICARE ADV PFFS | Medicare | $985 |
| ND VA ADMINISTRATION | Medicare | $985 |
| OUT OF STATE BCBS MEDICARE ADVANTAGE | Medicare | $985 |
| PRIMEWEST MSHO | Medicare | $985 |
| Platinum Blue/Vantage Blue | Medicare | $985 |
| SECURE BLUE MSHO | Medicare | $985 |
| SECURITY HEALTH MEDICARE | Medicare | $985 |
| UBH COST PLAN | Medicare | $985 |
| UBH MSHO/MEDICARE REPLACEMENT | Medicare | $985 |
| UBH MSHO | Medicare | $985 |
| BCBS MN | Medicaid | $1,000 |
| BCBS PLUS PMAP PCC PRIME | Medicaid | $1,000 |
| HealthPartners CARE PMAP | Medicaid | $1,204 |
| MN BCBS Commercial | BCBS MN | $1,397 |
| Sanford HealthPlan | Commercial-NDPERS | $1,494 |
| Sanford HealthPlan | Commercial | $1,529 |
| Medica Uplan | Commercial | $1,969 |
| HealthPartners | SHP | $2,081 |
| Medica | Commercial-FI | $2,161 |
Inpatient
$1,988cash price (self-pay)
$3,096list price
$1,328–$2,663range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford HealthPlan | Commercial-NDPERS | $1,328 |
| Sanford HealthPlan | Commercial | $1,398 |
| Ucare | Commercial | $2,037 |
| BCBS MN | Medicaid | $2,070 |
| BCBS PLUS PMAP PCC PRIME | Medicaid | $2,070 |
| WEA | Commercial-Narrow Network | $2,229 |
| MN BCBS Commercial | BCBS MN | $2,300 |
| BCBS WI | Commercial | $2,353 |
| WEA | Commercial | $2,384 |
| America's PPO | Commercial | $2,399 |
| WPS | Commercial | $2,570 |
| Aetna First Health | Commercial | $2,632 |
| HealthEOS | Commercial | $2,663 |
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All common services at Essentia Health St. Mary's-Detroit Lakes