Upper GI endoscopy with biopsy at Rainy Lake Medical Center. CPT 43239.
What Rainy Lake Medical Center publishes for this service, straight from its standard-charges file, last updated May 6, 2026.
Outpatient / ER
$331cash price (self-pay)
$1,004list price
$98.92–$1,406range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica | Minnesota Health Care Programs | $98.92 |
| Blue Cross of Minnesota | Medicare Advantage PPO/Platinum Blue/Medicar | $118 |
| HealthPartners | Medicare Advantage | $118 |
| Humana/ChoiceCare | Medicare Advantage | $118 |
| UCare Minnesota | MinnesotaCare/Senior Care Plus/Non-Integrated Specia | $118 |
| Medica | Medicare Advantage | $136 |
| UCare Minnesota | MSHO/Integrated Dual Eligible Special Needs/Medicare | $136 |
| UCare Minnesota | Individual and Family Plans | $207 |
| Medica | Commercial Plans | $225 |
| Blue Cross of Minnesota | Minnesota Health Care Programs | $267 |
| United Healthcare | Minnesota Medicaid Benefit Plans/CHIP | $524 |
| HealthPartners | MinnesotaCare Programs | $653 |
| HealthPartners | Medicare Cost Products | $804 |
| HealthPartners | State of Minnesota Advantage Products | $857 |
| Sanford Health Plan | PHO | $879 |
| HealthPartners | Commercial Plans | $954 |
| Humana/ChoiceCare | Commercial Plans | $954 |
| Preferred One | All Plans | $974 |
| United Healthcare | Commercial Plans | $984 |
| Blue Cross of Minnesota | Commercial Plans | $1,063 |
Inpatient
$773cash price (self-pay)
$1,220list price
$220–$1,392range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross of Minnesota | Minnesota Health Care Programs | $267 |
| HealthPartners | MinnesotaCare Programs | $793 |
| Blue Cross of Minnesota | Medicare Advantage PPO/Platinum Blue/Medicar | $946 |
| HealthPartners | Medicare Cost Products | $976 |
| HealthPartners | State of Minnesota Advantage Products | $1,040 |
| Blue Cross of Minnesota | Commercial Plans | $1,063 |
| Sanford Health Plan | PHO | $1,067 |
| Medica | Commercial Plans | $1,120 |
| HealthPartners | Commercial Plans | $1,159 |
| Humana/ChoiceCare | Commercial Plans | $1,159 |
| Preferred One | All Plans | $1,183 |
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