Upper GI endoscopy with biopsy at Children's Mercy Kansas City Adele Hall Campus. CPT 43239.
What Children's Mercy Kansas City Adele Hall Campus publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$382cash price (self-pay)
$1,887list price
$170–$2,681range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare Community Plan | All KS Medicaid Plans | $304 |
| Healthy Blue | All KS Medicaid Plans | $324 |
| Sunflower Health Plan | All KS Medicaid Plans | $333 |
| Cigna | CMH Employee Plans | $891 |
| Aetna | ACA Marketplace/Exchange Plans | $1,040 |
| Blue Cross Blue Shield of Kansas City | ACA Marketplace/Exchange Plans | $1,057 |
| Health Midwest Comprehensive Care | All Commercial Plans | $1,061 |
| QuikTrip | All Commercial Plans | $1,084 |
| Wellfit/Centrus | All Commercial Plans | $1,095 |
| Centivo | All Commercial Plans | $1,098 |
| Nebraska Furniture Mart | All Commercial Plans | $1,099 |
| Medica | Select by Medica | $1,100 |
| Orscheln | All Commercial Plans | $1,108 |
| Humana | All Commercial Plans | $1,129 |
| Blue Cross Blue Shield of Kansas City | Freedom Network Select Plan | $1,141 |
| Blue Cross Blue Shield of Kansas City | Blue High Performance Network | $1,142 |
| Blue Cross Blue Shield of Kansas City | Freedom Network Plan | $1,156 |
| Home State Health | All MO Medicaid Plans | $1,173 |
| Aetna | All Other Commercial Plans | $1,180 |
| Blue Cross Blue Shield of Kansas City | Blue Advantage, Blue Care, Blu | $1,186 |
| Blue Cross Blue Shield of Kansas City | Preferred Care Blue Plan | $1,186 |
| WPPA ProviDRs Care | All Commercial Plans | $1,199 |
| Cigna | All Other Commercial Plans | $1,212 |
| United Healthcare | Core Essential Plans | $1,220 |
| Blue Cross Blue Shield of Kansas | All Commercial Plans | $1,221 |
| Blue Cross Blue Shield of Kansas City | Preferred Care Plan | $1,261 |
| Multiplan | All Commercial Plans | $1,274 |
| Coventry Health Care of Kansas | First Health Network | $1,287 |
| United Healthcare Community Plan | All MO Medicaid Plans | $1,288 |
| Healthy Blue | All MO Medicaid Plans | $1,310 |
Inpatient
$382cash price (self-pay)
$1,887list price
$170–$2,681range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare Community Plan | All KS Medicaid Plans | $299 |
| Healthy Blue | All KS Medicaid Plans | $319 |
| Sunflower Health Plan | All KS Medicaid Plans | $322 |
| United Healthcare Community Plan | All MO Medicaid Plans | $325 |
| Healthy Blue | All MO Medicaid Plans | $369 |
| Home State Health | All MO Medicaid Plans | $369 |
| Cigna | CMH Employee Plans | $891 |
| Aetna | ACA Marketplace/Exchange Plans | $1,040 |
| Blue Cross Blue Shield of Kansas City | ACA Marketplace/Exchange Plans | $1,057 |
| Health Midwest Comprehensive Care | All Commercial Plans | $1,061 |
| QuikTrip | All Commercial Plans | $1,084 |
| Wellfit/Centrus | All Commercial Plans | $1,095 |
| Centivo | All Commercial Plans | $1,098 |
| Nebraska Furniture Mart | All Commercial Plans | $1,099 |
| Medica | Select by Medica | $1,100 |
| Orscheln | All Commercial Plans | $1,108 |
| Humana | All Commercial Plans | $1,129 |
| Blue Cross Blue Shield of Kansas City | Blue High Performance Network | $1,142 |
| Blue Cross Blue Shield of Kansas City | Freedom Network Select Plan | $1,169 |
| Aetna | All Other Commercial Plans | $1,180 |
| Blue Cross Blue Shield of Kansas City | Blue Advantage, Blue Care, Blu | $1,186 |
| Blue Cross Blue Shield of Kansas City | Preferred Care Blue Plan | $1,186 |
| Blue Cross Blue Shield of Kansas City | Freedom Network Plan | $1,198 |
| WPPA ProviDRs Care | All Commercial Plans | $1,199 |
| Cigna | All Other Commercial Plans | $1,212 |
| United Healthcare | Core Essential Plans | $1,220 |
| Blue Cross Blue Shield of Kansas City | Preferred Care Plan | $1,261 |
| Multiplan | All Commercial Plans | $1,274 |
| Coventry Health Care of Kansas | First Health Network | $1,287 |
| Blue Cross Blue Shield of Kansas City | PHP Plan | $1,330 |
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All common services at Children's Mercy Kansas City Adele Hall Campus