Upper GI endoscopy with biopsy at Northern Itasca Hospital District. CPT 43239.
What Northern Itasca Hospital District publishes for this service, straight from its standard-charges file, last updated September 15, 2026.
Outpatient / ER
$1,122cash price (self-pay)
$2,555list price
$133–$2,479range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $793 |
| Blue Cross Blue Shield of MN | Medicare Advantage | $793 |
| Medicare A MN J6 | All plans | $793 |
| Medicaid Minnesota | All plans | $1,022 |
| Humana | Medicare Advantage | $1,175 |
| United Healthcare | All commercial | $1,763 |
| Medica | All commercial | $1,791 |
| Aetna | All commercial | $2,006 |
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