Upper GI endoscopy with biopsy at Mercy Hospital St Louis. CPT 43239.
What Mercy Hospital St Louis publishes for this service, straight from its standard-charges file, last updated June 4, 2026.
Outpatient / ER
$710cash price (self-pay)
$1,286list price
$117–$4,325range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Mercy Benefit Admin [20251] | Hb Stlo Samc Hermann Area District Hospi | $117 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Hermann Area Di | $117 |
| Blue Cross And Blue Shield [20053] | Hb Stlo Managed Medicare | $120 |
| BCBS Medicaid Contracted [320046] | Hb Stlo Missouri Care Health Plan/ | $295 |
| United Healthcare Medicaid Contracted [320397] | Hb Stlo UHC Managed M | $295 |
| Home State Medicaid Contracted [320189] | Hb Stlo Home State Health Pl | $408 |
| Medicaid [20240] | Hb Stlo Mo Medicaid | $799 |
| Medicaid Pending [20241] | Hb Stlo Home State Health Plan Managed Medi | $799 |
| Mo Medicaid Bh Carve Out [320315] | Hb Stlo Mo Medicaid | $799 |
| Medicaid Pending [20241] | Hb Stlo Missouri Care Health Plan/Healthy B | $1,247 |
| Mercy Benefit Admin [20251] | Hb Stlo Samc Dec Show Me Benefit Consort | $1,661 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Dec Show Me Ben | $1,661 |
| Show-Me Health Administrators Contracted [320483] | Hb Stlo Samc Dec S | $1,661 |
| Aither Health [20449] | Hb Stlo Samc Shine Solar Dec New 110320 | $1,711 |
| Mercy Benefit Admin [20251] | Hb Stlo Samc Clayco Dec | $1,711 |
| Mercy Benefit Admin [20251] | Hb Stlo Samc Schaefer Autobody Dec New 0 | $1,711 |
| Mercy Benefit Admin [20251] | Hb Stlo Samc Dec Eba - Employer Benefit | $1,711 |
| Healthlink Contracted [320179] | Hb Stlo Samc Dec Sapaugh Motors New 0 | $1,711 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Dec Quick Trip | $1,711 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Clayco Dec | $1,711 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Schaefer Autobo | $1,711 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Dec Eba - Emplo | $1,711 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Easter Seals De | $1,711 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc City Of Jackson | $1,711 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Bartel Communic | $1,711 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Dec Sapaugh Mot | $1,711 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Tall Tree Dec N | $1,711 |
| Yuzu Health Contracted [320521] | Hb Stlo Samc Schaefer Autobody Dec N | $1,711 |
| Yuzu Health Contracted [320521] | Hb Stlo Samc Level Health Dec | $1,711 |
| Reflect Health Contracted [320492] | Hb Stlo Samc Ww Wood Dec | $1,711 |
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