Upper GI endoscopy with biopsy at Mercy Family Medicine - Mansfield. CPT 43239.
What Mercy Family Medicine - Mansfield publishes for this service, straight from its standard-charges file, last updated June 12, 2026.
Outpatient / ER
$590cash price (self-pay)
$787list price
$433–$698range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Administrative Payor [20005] | Pb Mercy Amish/Mennonite | $433 |
| Administrative Payor Contracted [320005] | Pb Mercy Amish/Mennonite | $433 |
| Mercy Benefit Admin Contracted [320251] | Pb Stl Dec Employer Benefit | $464 |
| United Healthcare Contracted [320396] | Pb Stl UHC Core | $698 |
Inpatient
$590cash price (self-pay)
$787list price
$433–$698range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Administrative Payor [20005] | Pb Mercy Amish/Mennonite | $433 |
| Administrative Payor Contracted [320005] | Pb Mercy Amish/Mennonite | $433 |
| Mercy Benefit Admin Contracted [320251] | Pb Stl Dec Employer Benefit | $464 |
| United Healthcare Contracted [320396] | Pb Stl UHC Core | $698 |
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