Upper GI endoscopy with biopsy at Mercy Hospital South. CPT 43239.
What Mercy Hospital South publishes for this service, straight from its standard-charges file, last updated June 10, 2026.
Outpatient / ER
$3,725cash price (self-pay)
$5,731list price
$120–$2,044range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Medicaid Contracted [320046] | Hb Samc Missouri Care Health Plan/ | $799 |
| Home State Medicaid Contracted [320189] | Hb Samc Home State Health Pl | $799 |
| Wellcare Medicare Advantage Contracted [320421] | Hb Samc Medicare And | $891 |
| Halo Hcr Inc Hospice Contracted [320432] | Hb Samc Medicare And 100% M | $891 |
| Elara Caring Aspire Hospice Contracted [320433] | Hb Samc Medicare And | $891 |
| Kindful Hospice Contracted [320434] | Hb Samc Medicare And 100% Manage | $891 |
| Tricare Contracted [320380] | Hb Samc Tricare - Healthnet West | $891 |
| United Healthcare Contracted [320396] | Hb Samc Medicare And 100% Mana | $891 |
| United Healthcare Medicare Advantage Contracted [320398] | Hb Samc Med | $891 |
| Qual Choice Contracted [320325] | Hb Samc Medicare And 100% Managed Me | $891 |
| Nhc Advantage Medicare Contracted [320282] | Hb Samc Medicare And 100% | $891 |
| Longevity Health Plan Medicare Contracted [320225] | Hb Samc Medicare | $891 |
| Humana Medicare Advantage Contracted [320194] | Hb Samc Humana Medicar | $891 |
| Globalhealth Contracted [320145] | Hb Samc Medicare And 100% Managed M | $891 |
| Dept Of Veteran Affairs Contracted [320106] | Hb Samc Medicare And 100 | $891 |
| Aetna Medicare Advantage Contracted [320010] | Hb Samc Medicare And 10 | $891 |
| Aetna Medicare Advantage Contracted [320010] | Hb Samc Aetna And Coven | $891 |
| Cherokee Nation Health Serv Contracted [320066] | Hb Samc Medicare And | $891 |
| BCBS Medicare Advantage Contracted [320047] | Hb Samc Medicare And 100 | $891 |
| American Health Advantage Of Mo Mcr [10473] | Hb Samc Medicare And 100 | $891 |
| Medicare [20244] | Hb Samc Medicare And 100% Managed Medicare | $891 |
| Humana Medicare Advantage [20194] | Hb Samc Medicare And 100% Managed | $891 |
| Generic Medicare Managed Care [20137] | Hb Samc Medicare And 100% Mana | $891 |
| Cross Timbers Hospice [20098] | Hb Samc Medicare And 100% Managed Medi | $891 |
| Halo Hcr Inc Hospice [20432] | Hb Samc Medicare And 100% Managed Medic | $891 |
| Elara Caring Aspire Hospice [20433] | Hb Samc Medicare And 100% Manage | $891 |
| Kindful Hospice [20434] | Hb Samc Medicare And 100% Managed Medicare | $891 |
| Mercy Hospice Okc [20252] | Hb Samc Medicare And 100% Managed Medicare | $891 |
| Pace Of The Ozarks Contracted [320518] | Hb Samc Medicare And 100% Man | $891 |
| Medica Medicare Advantage Contracted [320477] | Hb Samc Medicare And 1 | $891 |
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