Upper GI endoscopy with biopsy at Maple Grove Hospital. CPT 43239.
What Maple Grove Hospital publishes for this service, straight from its standard-charges file, last updated September 25, 2026.
Outpatient / ER
$2,426cash price (self-pay)
$4,603list price
$127–$3,197range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross [1021] | Mgh BCBS Msho | $127 |
| Blue Cross [1021] | Mgh BCBS Med Adv | $131 |
| Health Partners [1061] | Mgh Hp Govt Msho | $610 |
| Blue Cross [1021] | Mgh BCBS Pmap | $698 |
| Medicaid [1087] | Mgh Medicaid Mn | $771 |
| Humana [2203] | Mgh Humana Med Adv | $948 |
| Medicare [1088] | Mgh Medicare | $948 |
| Ucare [1148] | Mgh Ucare Pmap | $948 |
| Health Partners [1061] | Mgh Hp Med Adv | $950 |
| Medica [1086] | Mgh Medica Med Adv | $958 |
| Ucare [1148] | Mgh Ucare Med Adv | $977 |
| Ucare [1148] | Mgh Ucare Msho | $977 |
| Medica [1086] | Medica Choice Care | $984 |
| United Healthcare [2204] | Mgh UHC Med Adv | $986 |
| Allina Health-Aetna [2201] | Mgh Allina Health Aetna Medicare | $1,030 |
| Blue Cross [1021] | Mgh Xr Hb BCBS Federal | $1,577 |
| Blue Cross [1021] | Mgh Xr Hb BCBS Aware | $1,605 |
| Medica [1086] | Mgh Medica Msho | $1,670 |
| Cigna Health Partners [1242] | Mgh Hp Cigna | $1,672 |
| Health Partners [1061] | Mgh Hp Federal | $1,672 |
| Health Partners [1061] | Mgh Hp Comm | $1,672 |
| Ucare [1148] | Mgh Ucare Ifb | $1,734 |
| Medica [1086] | Medica Acclaim | $2,899 |
| Medica [1086] | Medica Fv Nm - Aco Vantage | $2,977 |
| MEDICA [1086] | MEDICA COMMERCIAL (With WH) | $3,197 |
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