Upper GI endoscopy with biopsy at Mercy Pediatrics - Doctors Park. CPT 43239.
What Mercy Pediatrics - Doctors Park publishes for this service, straight from its standard-charges file, last updated June 12, 2026.
Outpatient / ER
$495cash price (self-pay)
$660list price
$138–$660range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid [20240] | Pb Sprg/Jopl/Cape/Stod Medicaid Mo | $295 |
| Home State Medicaid [20189] | Pb Cape/Stod Home State/Centene/Ambetter | $325 |
| Home State Medicaid Contracted [320189] | Pb Cape/Stod Home State/Cent | $325 |
| BCBS Medicaid [20046] | Pb Cape BCBS Healthy Blue/Missouri Care Medica | $340 |
| BCBS Medicaid Contracted [320046] | Pb Cape BCBS Healthy Blue/Missouri | $340 |
| Administrative Payor [20005] | Pb Mercy Amish/Mennonite | $363 |
| Administrative Payor Contracted [320005] | Pb Mercy Amish/Mennonite | $363 |
| Blue Cross And Blue Shield [20053] | Pb Cape/Stod Anthem Blue Traditio | $366 |
| Healthlink [20179] | Pb Cape Healthlink HMO IL. (M2b) | $369 |
| Healthlink Contracted [320179] | Pb Cape Healthlink HMO IL. (M2b) | $369 |
| Aetna Medicare Advantage [20010] | Pb Sprg/Jopl/Cape/Stod Medicare Mo | $375 |
| Aetna Medicare Advantage Contracted [320010] | Pb Stl Cape Aetna Medic | $375 |
| BCBS Medicare Advantage Contracted [320047] | Pb Cape Anthem Medicare | $375 |
| Medicare [20244] | Pb Sprg/Jopl/Cape/Stod Medicare Mo 99 | $375 |
| Healthlink Contracted [320179] | Pb Cape Healthlink PPO (M1b) | $394 |
| Humana Medicare Advantage [20194] | Pb IL Humana Mcr-Mcd Dsnp | $403 |
| Humana Medicare Advantage Contracted [320194] | Pb IL Humana Mcr-Mcd D | $403 |
| Aither Health Contracted [320449] | Pb Cape Dec Laclede | $475 |
| Edison Health Solutions Contracted [320502] | Pb Cape Dec Woodard | $475 |
| Mercy Benefit Admin Contracted [320251] | Pb Cape Dec Bartel Commnicat | $475 |
| Mercy Benefit Admin Contracted [320251] | Pb Cape Dec Easter Seals | $475 |
| Mercy Benefit Admin Contracted [320251] | Pb Cape Dec Hermann | $475 |
| Mercy Benefit Admin Contracted [320251] | Pb Cape Dec Quality Collisio | $475 |
| Mercy Benefit Admin Contracted [320251] | Pb Cape Dec Sapaugh Motors | $475 |
| Mercy Benefit Admin Contracted [320251] | Pb Cape Dec Tall Tree | $475 |
| Aetna [20008] | Pb Cape Aetna | $487 |
| Aetna Contracted [320008] | Pb Cape Aetna | $487 |
| Home State Health Plan Contracted [320187] | Pb Cape Homestate Centene | $487 |
| Centivo Contracted [320505] | Pb Pcmh Cape Stod Centivo | $506 |
| Cigna Healthcare Contracted [320071] | Pb Cape/Stod Cigna | $518 |
Inpatient
$495cash price (self-pay)
$660list price
$138–$660range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid [20240] | Pb Sprg/Jopl/Cape/Stod Medicaid Mo | $295 |
| Home State Medicaid [20189] | Pb Cape/Stod Home State/Centene/Ambetter | $325 |
| Home State Medicaid Contracted [320189] | Pb Cape/Stod Home State/Cent | $325 |
| BCBS Medicaid [20046] | Pb Cape BCBS Healthy Blue/Missouri Care Medica | $340 |
| BCBS Medicaid Contracted [320046] | Pb Cape BCBS Healthy Blue/Missouri | $340 |
| Administrative Payor [20005] | Pb Mercy Amish/Mennonite | $363 |
| Administrative Payor Contracted [320005] | Pb Mercy Amish/Mennonite | $363 |
| Blue Cross And Blue Shield [20053] | Pb Cape/Stod Anthem Blue Traditio | $366 |
| Healthlink [20179] | Pb Cape Healthlink HMO IL. (M2b) | $369 |
| Healthlink Contracted [320179] | Pb Cape Healthlink HMO IL. (M2b) | $369 |
| Aetna Medicare Advantage [20010] | Pb Sprg/Jopl/Cape/Stod Medicare Mo | $375 |
| Aetna Medicare Advantage Contracted [320010] | Pb Stl Cape Aetna Medic | $375 |
| BCBS Medicare Advantage Contracted [320047] | Pb Cape Anthem Medicare | $375 |
| Medicare [20244] | Pb Sprg/Jopl/Cape/Stod Medicare Mo 99 | $375 |
| Healthlink Contracted [320179] | Pb Cape Healthlink PPO (M1b) | $394 |
| Humana Medicare Advantage [20194] | Pb IL Humana Mcr-Mcd Dsnp | $403 |
| Humana Medicare Advantage Contracted [320194] | Pb IL Humana Mcr-Mcd D | $403 |
| Aither Health Contracted [320449] | Pb Cape Dec Laclede | $475 |
| Edison Health Solutions Contracted [320502] | Pb Cape Dec Woodard | $475 |
| Mercy Benefit Admin Contracted [320251] | Pb Cape Dec Bartel Commnicat | $475 |
| Mercy Benefit Admin Contracted [320251] | Pb Cape Dec Easter Seals | $475 |
| Mercy Benefit Admin Contracted [320251] | Pb Cape Dec Hermann | $475 |
| Mercy Benefit Admin Contracted [320251] | Pb Cape Dec Quality Collisio | $475 |
| Mercy Benefit Admin Contracted [320251] | Pb Cape Dec Sapaugh Motors | $475 |
| Mercy Benefit Admin Contracted [320251] | Pb Cape Dec Tall Tree | $475 |
| Aetna [20008] | Pb Cape Aetna | $487 |
| Aetna Contracted [320008] | Pb Cape Aetna | $487 |
| Home State Health Plan Contracted [320187] | Pb Cape Homestate Centene | $487 |
| Centivo Contracted [320505] | Pb Pcmh Cape Stod Centivo | $506 |
| Cigna Healthcare Contracted [320071] | Pb Cape/Stod Cigna | $518 |
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