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Upper GI endoscopy with biopsy at Freeman Hospital West Campus Acute Inpatient Hospital. CPT 43239.

What Freeman Hospital West Campus Acute Inpatient Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.

Outpatient / ER

—cash price (self-pay)
—list price
$908–$4,897range insurers pay
Insurance planNegotiated rate
Aetna | Medicare/Medicaid Managed Care Plan$908
Allwell | Medicare Managed Care Plan$918
Devoted Health | Medicare Managed Care Plan$936
Kansas Health Advantage | Medicare Managed Care Plan$945
Nhc | Medicare Managed Care Plan$999
Unitedhealthcare | Exchange$1,136
Ambetter Health | Other Commercial Plan$1,317
Medica | Exchange$1,334
Healthlink | Hmo$1,549
Healthchoice | All Commercial Plans$1,668
Healthlink | Ppo$1,720
Unitedhealthcare | Core Other Commercial Plan$2,358
Unitedhealthcare | All Commercial Plans$2,534
Cigna | All Commercial Plans$4,897
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All common services at Freeman Hospital West Campus Acute Inpatient Hospital