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Upper GI endoscopy with biopsy at Olivia Hospital. CPT 43239.

What Olivia Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.

Outpatient / ER

$863cash price (self-pay)
$2,513list price
$150–$3,406range insurers pay
Insurance planNegotiated rate
Hp Medicare Replacement [950306] | Hp Medicare Advantage [95307]$500
BCBS Medicare Replacement [950296] | BCBS Medicare Advantage [50299]$507
UHC Medicare Replacement [950281] | UHC Medicare Advantage PPO [50275]$517
Medica Medicare Replacement [950299] | Medica Government Advantage [50$522
Ucare Medicaid Replacement [950289] | Ucare Pmap [50283]$523
Medica Medicaid Replacement [950298] | Medica Choice Care Pmap [50314]$649
Hp Medicaid Replacement [950307] | Hp Care Pmap [50327]$890
BCBS Medicaid Replacement [950295] | BCBS Pmap [95296]$1,135
Healthpartners [900713] | Hp Self Insured [91021]$1,713
Medica [900156] | Medica Choice [90156]$1,880
First Health Network [950334] | First Health Network [95334]$1,905
Unitedhealthcare [900444] | UHC [50131]$2,489
BCBS [900043] | BCBS Mn [90043]$3,406
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All common services at Olivia Hospital