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

What Robbinsdale Hospital publishes for this service, straight from its standard-charges file, last updated September 25, 2026.

Outpatient / ER

$381cash price (self-pay)

$2,679list price

$98.15–$3,197range insurers pay

Insurance plan	Negotiated rate
Medicaid [1087] \| Medicaid Minnesota [3190]	$98.15
Medica [1086] \| Medica Pmap/Mncare [4467]	$98.92
Medicare [1088] \| Medicare Part A & B [3194]	$133
Allina Health-Aetna [2201] \| Allina Health-Aetna Medicare [4353]	$148
Humana [2203] \| Humana Medicare Advantage [4356]	$149
Ucare [1148] \| Ucare Medicare Advantage [3303]	$153
Ucare [1148] \| Ucare Msho [3304]	$153
Medica [1086] \| Medica North Memorial Acclaim [4206]	$493
Medica [1086] \| Medica Vantage Plus [4205]	$506
Medica [1086] \| Medica Commercial [3453]	$533
Health Partners [1061] \| Healthpartners Federal [4268]	$542
Health Partners [1061] \| Healthpartners Open Access/Choice [3119]	$551
Health Partners [1061] \| Nmh Hp Govt Msho	$664
America'S PPO [1010] \| Healthez America'S PPO [3438]	$694
Blue Cross [1021] \| Nmh BCBS Pmap	$706
America'S PPO [1010] \| America'S PPO [3015]	$738
Medicaid [1087] \| Nmh Medicaid Mn	$771
Blue Cross [1021] \| Nmh BCBS Msho	$948
Humana [2203] \| Nmh Humana Med Adv	$948
Medicare [1088] \| Nmh Medicare	$948
Ucare [1148] \| Nmh Ucare Pmap	$948
Health Partners [1061] \| Nmh Hp Med Adv	$950
Medica [1086] \| Nmh Medica Med Adv	$958
Blue Cross [1021] \| Nmh BCBS Med Adv	$977
Ucare [1148] \| Nmh Ucare Med Adv	$977
Ucare [1148] \| Nmh Ucare Msho	$977
Medica [1086] \| Medica Choice Care	$984
United Healthcare [2204] \| Nmh UHC Med Adv	$986
Allina Health-Aetna [2201] \| Nmh Allina Health Aetna Medicare	$1,030
Medica [1086] \| Nmh Medica Msho	$1,670

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