Upper GI endoscopy with biopsy at Mercy Pediatrics - Carthage. CPT 43239.
What Mercy Pediatrics - Carthage publishes for this service, straight from its standard-charges file, last updated June 12, 2026.
Outpatient / ER
$764cash price (self-pay)
$1,018list price
$295–$1,018range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AETNA MEDICAID [20009] | PB OK,AR,SGF,JOPL OK MCD ADVANTAGE Plans | $305 |
| Aetna Medicaid Contracted [320009] | Pb Ok,Ar,Sgf,Jopl Ok Mcd Advantag | $305 |
| HUMANA MEDICAID [20486] | PB OK,AR,SGF,JOPL OK MCD ADVANTAGE Plans | $305 |
| Humana Medicaid Contracted [320486] | Pb Ok,Ar,Sgf,Jopl Ok Mcd Advanta | $305 |
| Aetna Medicare Advantage [20010] | Pb Sprg/Jopl Aetna Medicare-Missou | $375 |
| Aetna Medicare Advantage [20010] | Pb Sprg/Jopl/Cape/Stod Medicare Mo | $375 |
| Aetna Medicare Advantage Contracted [320010] | Pb Sprg/Jopl Aetna Med | $375 |
| BCBS Medicare Advantage Contracted [320047] | Pb Sprg/Jopl Blue Cross | $375 |
| Humana Medicare Advantage Contracted [320194] | Pb Sprg/Jopl/Ks Humana | $375 |
| Devoted Health Medicare Contracted [320500] | Pb Sprg-Jopl Devoted Hea | $390 |
| BCBS Medicaid [20046] | Pb Sprg/Jopl Missouri Care/Healthy Blue | $390 |
| BCBS Medicaid Contracted [320046] | Pb Sprg/Jopl Missouri Care/Healthy | $390 |
| Blue Cross And Blue Shield [20053] | Pb Sprg/Jopl Anthem Alliance Outs | $392 |
| Mc Anthem [20455] | Pb Sprg/Jopl Anthem Alliance Outside Greene County | $392 |
| Blue Cross And Blue Shield [20053] | Pb Sprg Jopl Anthem Pathways X (E | $404 |
| Blue Cross And Blue Shield [20053] | Pb Sprg Jopl Anthem Blue Preferre | $407 |
| Blue Cross And Blue Shield [20053] | Pb Sprg Jopl Anthem Blue Access | $434 |
| Mc Generic Anthem [20456] | Pb Sprg Jopl Anthem Blue Access | $434 |
| Employers Advanced Cooperative On Healthcare Contracted [320115] | Pb | $436 |
| FIRST HEALTH CONTRACTED [320128] | PB SPRG/JOPL First Health | $436 |
| Blue Cross And Blue Shield [20053] | Pb Sprg/Jopl Anthem Traditional O | $446 |
| Humana Contracted [320193] | Pb Jopl Humana/Ppox | $450 |
| Healthlink Contracted [320179] | Pb Sprg/Jopl Healthlink | $478 |
| Cigna Healthcare Contracted [320071] | Pb Sprg/Jopl/Ks Cigna | $509 |
| INSURANCE SYSTEM INC CONTRACTED [320465] | PB JOPL Health Systems Inc. | $517 |
| Health Choice Contracted [320166] | Pb Jopl Healthchoice | $526 |
| Administrative Payor [20005] | Pb Mercy Amish/Mennonite | $560 |
| Administrative Payor Contracted [320005] | Pb Mercy Amish/Mennonite | $560 |
| Boon Chapman Contracted [320055] | Pb Jopl Krey Distributing | $560 |
| Healthsmart Preferred Care Contracted [320184] | Pb Sprg/Jopl Arvest B | $560 |
Inpatient
$764cash price (self-pay)
$1,018list price
$295–$1,018range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AETNA MEDICAID [20009] | PB OK,AR,SGF,JOPL OK MCD ADVANTAGE Plans | $305 |
| Aetna Medicaid Contracted [320009] | Pb Ok,Ar,Sgf,Jopl Ok Mcd Advantag | $305 |
| HUMANA MEDICAID [20486] | PB OK,AR,SGF,JOPL OK MCD ADVANTAGE Plans | $305 |
| Humana Medicaid Contracted [320486] | Pb Ok,Ar,Sgf,Jopl Ok Mcd Advanta | $305 |
| Aetna Medicare Advantage [20010] | Pb Sprg/Jopl Aetna Medicare-Missou | $375 |
| Aetna Medicare Advantage [20010] | Pb Sprg/Jopl/Cape/Stod Medicare Mo | $375 |
| Aetna Medicare Advantage Contracted [320010] | Pb Sprg/Jopl Aetna Med | $375 |
| BCBS Medicare Advantage Contracted [320047] | Pb Sprg/Jopl Blue Cross | $375 |
| Humana Medicare Advantage Contracted [320194] | Pb Sprg/Jopl/Ks Humana | $375 |
| Devoted Health Medicare Contracted [320500] | Pb Sprg-Jopl Devoted Hea | $390 |
| BCBS Medicaid [20046] | Pb Sprg/Jopl Missouri Care/Healthy Blue | $390 |
| BCBS Medicaid Contracted [320046] | Pb Sprg/Jopl Missouri Care/Healthy | $390 |
| Blue Cross And Blue Shield [20053] | Pb Sprg/Jopl Anthem Alliance Outs | $392 |
| Mc Anthem [20455] | Pb Sprg/Jopl Anthem Alliance Outside Greene County | $392 |
| Blue Cross And Blue Shield [20053] | Pb Sprg Jopl Anthem Pathways X (E | $404 |
| Blue Cross And Blue Shield [20053] | Pb Sprg Jopl Anthem Blue Preferre | $407 |
| Blue Cross And Blue Shield [20053] | Pb Sprg Jopl Anthem Blue Access | $434 |
| Mc Generic Anthem [20456] | Pb Sprg Jopl Anthem Blue Access | $434 |
| Employers Advanced Cooperative On Healthcare Contracted [320115] | Pb | $436 |
| FIRST HEALTH CONTRACTED [320128] | PB SPRG/JOPL First Health | $436 |
| Blue Cross And Blue Shield [20053] | Pb Sprg/Jopl Anthem Traditional O | $446 |
| Humana Contracted [320193] | Pb Jopl Humana/Ppox | $450 |
| Healthlink Contracted [320179] | Pb Sprg/Jopl Healthlink | $478 |
| Cigna Healthcare Contracted [320071] | Pb Sprg/Jopl/Ks Cigna | $509 |
| INSURANCE SYSTEM INC CONTRACTED [320465] | PB JOPL Health Systems Inc. | $517 |
| Health Choice Contracted [320166] | Pb Jopl Healthchoice | $526 |
| Administrative Payor [20005] | Pb Mercy Amish/Mennonite | $560 |
| Administrative Payor Contracted [320005] | Pb Mercy Amish/Mennonite | $560 |
| Boon Chapman Contracted [320055] | Pb Jopl Krey Distributing | $560 |
| Healthsmart Preferred Care Contracted [320184] | Pb Sprg/Jopl Arvest B | $560 |
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