Upper GI endoscopy with biopsy at Mosaic Medical Center Albany. CPT 43239.
What Mosaic Medical Center Albany publishes for this service, straight from its standard-charges file, last updated September 26, 2025.
Outpatient / ER
$342cash price (self-pay)
$997list price
$126–$2,052range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $126 |
| Blue Cross Blue Shield | Medicare Advantage | $126 |
| Generic | Medicare Advantage | $126 |
| United Healthcare | Medicare Advantage | $126 |
| Aetna | Commercial | $138 |
| Blue Cross PCB | Commercial | $152 |
| Freedom Select Healthlink | Commercial | $152 |
| Blue Cross PC | Commercial | $152 |
| Sisco | Commercial | $152 |
| Ambetter | Commercial | $189 |
| Amerigroup of Iowa | Managed Medicaid | $359 |
| Molina of Iowa | Managed Medicaid | $359 |
| Iowa Total Care | Managed Medicaid | $359 |
| Centurion | Commercial | $698 |
| Cigna | Commercial | $748 |
| Healthlink Open Access | Commercial | $847 |
| Multiplan | Commercial | $847 |
| GEHA Shared Services | Commercial | $863 |
| United Healthcare | Commercial | $863 |
| Preferred Health Professional | Commercial | $1,076 |
| Humana | Medicare Advantage | $1,368 |
| Coventry | Commercial | $1,530 |
| Home State of Missouri | Commercial | $1,980 |
| United Healthcare of Missouri | Managed Medicaid | $1,980 |
| Healthy Blue of Missouri | Managed Medicaid | $1,980 |
Inpatient
$1,530cash price (self-pay)
$1,800list price
$720–$1,620range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Centurion | Commercial | $720 |
| Cigna | Commercial | $1,334 |
| Sisco | Commercial | $1,334 |
| Blue Cross PCB | Commercial | $1,390 |
| Healthlink Open Access | Commercial | $1,530 |
| Multiplan | Commercial | $1,530 |
| Blue Cross PC | Commercial | $1,530 |
| Freedom Select Healthlink | Commercial | $1,530 |
| Preferred Health Professional | Commercial | $1,530 |
| Aetna | Commercial | $1,532 |
| GEHA Shared Services | Commercial | $1,559 |
| United Healthcare | Commercial | $1,559 |
| Coventry | Commercial | $1,620 |
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