Upper GI endoscopy with biopsy at Range Regional Health Services. CPT 43239.
What Range Regional Health Services publishes for this service, straight from its standard-charges file, last updated January 29, 2026.
Outpatient / ER
$38.25cash price (self-pay)
$1,713list price
$53.01–$2,156range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Partners | PMAP | $92.32 |
| Itasca Medical Care | Managed Medicaid | $92.32 |
| Primewest | Managed Medicaid | $92.32 |
| Medica | AccessAbility | $98.92 |
| Medica | Managed Medicaid | $98.92 |
| Blue Cross of Minnesota | PMAP | $106 |
| Itasca Medical Care | Medicare Advantage/MSHO | $125 |
| Medica | MSHO-Dual/Medicare Advantage SNP | $125 |
| Primewest | MSHO | $125 |
| Sanford Health Plan | Medicare Advantage | $125 |
| Security Health Plan | Medicare Advantage | $125 |
| United Healthcare | Medicare Advantage | $125 |
| WellCare | Medicare Advantage | $125 |
| Medica | Medicare Advantage Non-SNP | $127 |
| Blue Cross of Minnesota | Medicare Advantage | $130 |
| UCare | Medicare Advantage/MSHO | $131 |
| Health Partners | Medicare Advantage | $133 |
| Health Partners | Medicare Cost | $137 |
| UCare | Individual and Family Plans | $301 |
| Medica | Commercial | $363 |
| United Healthcare | Commercial | $415 |
| Health Partners | Federal | $439 |
| Health Partners | Commercial | $447 |
| Health Partners | Cigna Commercial | $469 |
| Health Partners | Cigna Great West | $559 |
| Blue Cross of Minnesota | Aware Federal | $587 |
| Blue Cross of Minnesota | Aware/Blue Plus | $597 |
| UCare | PMAP | $918 |
| Sanford Health Plan | Commercial | $1,009 |
| Security Health Plan | Commercial | $1,250 |
Inpatient
$885cash price (self-pay)
$2,109list price
$948–$2,124range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Partners | Medicare Cost | $959 |
| Health Partners | PMAP | $977 |
| Sanford Health Plan | Commercial | $1,242 |
| Security Health Plan | Commercial | $1,581 |
| Health Partners | Federal | $1,649 |
| Health Partners | Commercial | $1,679 |
| United Healthcare | Commercial | $1,694 |
| First Health | Commercial | $1,729 |
| Medica | Commercial | $1,754 |
| Health Partners | Cigna Commercial | $1,762 |
| MultiPlan | Commercial | $1,792 |
| Private Healthcare Systems | Commercial | $1,792 |
| America's PPO | Commercial/EZCare/Health EZ | $1,898 |
| Wisconsin Physician Services | Commercial | $1,898 |
| Health Partners | Cigna Great West | $2,098 |
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