Upper GI endoscopy with biopsy at M Health Fairview Northland Medical Center. CPT 43239.
What M Health Fairview Northland Medical Center publishes for this service, straight from its standard-charges file, last updated January 29, 2026.
Outpatient / ER
$780cash price (self-pay)
$1,581list price
$92.32–$3,500range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Partners | PMAP | $92.32 |
| Itasca Medical Care | Managed Medicaid | $92.32 |
| Primewest | Managed Medicaid | $92.32 |
| South Country Health Alliance | PMAP | $92.32 |
| UCare | PMAP | $94.08 |
| Medica | Managed Medicaid/AccessAbility | $98.92 |
| Hennepin Health | PMAP | $104 |
| Blue Cross of Minnesota | PMAP | $106 |
| Itasca Medical Care | Medicare Advantage/MSHO | $125 |
| Sanford Health Plan | Medicare Advantage | $125 |
| Security Health Plan | Medicare Advantage | $125 |
| South Country Health Alliance | Medicare Advantage | $125 |
| Blue Cross of Minnesota | Medicare Advantage | $130 |
| Health Partners | Medicare Advantage | $133 |
| Medica | Medicare Advantage Non-SNP | $135 |
| UCare | Medicare Advantage/MSHO | $135 |
| Medica | MSHO/Medicare Advantage SNP | $137 |
| Health Partners | Medicare Cost | $137 |
| UCare | Individual and Family with M Health Fairview | $330 |
| UCare | Individual and Family | $348 |
| Medica | Bold | $397 |
| United Healthcare | Commercial | $415 |
| Medica | Vantage Self Insured | $430 |
| Medica | City of St. Paul/Essential | $441 |
| Medica | Individual and Family (Except ACO) and Elect | $441 |
| Medica | Choice | $456 |
| Blue Cross of Minnesota | Aware Federal | $458 |
| Blue Cross of Minnesota | Aware/Blue Plus | $466 |
| Health Partners | Federal | $510 |
| Health Partners | Commercial | $519 |
Inpatient
$780cash price (self-pay)
$2,083list price
$1,013–$1,879range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| America's PPO | EZCare | $1,085 |
| Sanford Health Plan | Commercial | $1,227 |
| America's PPO | Health EZ | $1,229 |
| America's PPO | Commercial | $1,331 |
| Security Health Plan | Commercial | $1,562 |
| First Health | Commercial | $1,708 |
| MultiPlan | Commercial | $1,771 |
| Private Healthcare Systems | Commercial | $1,771 |
| Wisconsin Physician Services | Commercial | $1,875 |
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All common services at M Health Fairview Northland Medical Center