Upper GI endoscopy with biopsy at Mercy Hospital Southeast. CPT 43239.
What Mercy Hospital Southeast publishes for this service, straight from its standard-charges file, last updated June 11, 2026.
Outpatient / ER
$7,904cash price (self-pay)
$12,160list price
$116–$14,291range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Indian Health Service Contracted [320198] | Hb Cape Medicare And 100% | $116 |
| Blue Cross And Blue Shield [20053] | Hb Cape Medicare And 100% Managed | $116 |
| Blue Cross And Blue Shield [20053] | Hb Cape Anthem Pathway/Exchange | $404 |
| BCBS Medicaid Contracted [320046] | Hb Cape Missouri Care Health Plan/ | $799 |
| Home State Medicaid Contracted [320189] | Hb Cape Home State Managed M | $799 |
| Medicaid [20240] | Hb Cape Mo Medicaid | $799 |
| Medicaid Pending [20241] | Hb Cape Home State Managed Medicaid | $799 |
| Medicaid Pending [20241] | Hb Cape Missouri Care Health Plan/Healthy B | $799 |
| United Healthcare Medicaid Contracted [320397] | Hb Cape UHC Managed M | $799 |
| Acentra Health Contracted [320527] | Hb Cape Medicare And 100% Managed | $1,885 |
| Healthspring Medicare Advantage Contracted [320526] | Hb Cape Medicare | $1,885 |
| Kindful Hospice Contracted [320434] | Hb Cape Medicare And 100% Manage | $1,885 |
| Elara Caring Aspire Hospice Contracted [320433] | Hb Cape Medicare And | $1,885 |
| Halo Hcr Inc Hospice Contracted [320432] | Hb Cape Medicare And 100% M | $1,885 |
| Wellcare Medicare Advantage Contracted [320421] | Hb Cape Medicare And | $1,885 |
| Wellcare Medicare Advantage Contracted [320421] | Hb Cape Home State M | $1,885 |
| United Healthcare Medicare Advantage Contracted [320398] | Hb Cape UHC | $1,885 |
| Tricare Contracted [320380] | Hb Cape Tricare | $1,885 |
| Pace Of The Ozarks Contracted [320518] | Hb Cape Medicare And 100% Man | $1,885 |
| Cross Timbers Hospice [20098] | Hb Cape Medicare And 100% Managed Medi | $1,885 |
| Mercy Hospice Okc [20252] | Hb Cape Medicare And 100% Managed Medicare | $1,885 |
| Medicare [20244] | Hb Cape Medicare And 100% Managed Medicare | $1,885 |
| American Health Advantage Of Mo Mcr HMO Contracted [320264] | Hb Cape | $1,942 |
| Wellcare Medicare Advantage Contracted [320421] | Hb Cape Wellcare Ky | $1,982 |
| Ambetter Contracted [320452] | Hb Cape Home State Ambetter Exchange Bh | $2,440 |
| United Healthcare Contracted [320396] | Hb Cape Dec Rates Ip 150% Op 1 | $2,828 |
| Centivo Contracted [320505] | Hb Cape Centivo 165% Medicare New 110124 | $3,171 |
| Consociate Consolidated Health Contracted [320490] | Hb Cape Dec Conso | $3,300 |
| Preferred Health Plan Contracted [320522] | Hb Cape City Of Cape Dec 1 | $3,364 |
| United Healthcare Contracted [320396] | Hb Cape UHC Exchange | $4,613 |
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