Upper GI endoscopy with biopsy at Sanford Medical Center Mayville. CPT 43239.
What Sanford Medical Center Mayville publishes for this service, straight from its standard-charges file, last updated March 4, 2026.
Outpatient / ER
$1,760cash price (self-pay)
$2,200list price
$1,087–$2,270range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan Align | Medicare Replacement | $1,087 |
| Blue Cross Blue Shield of Minnesota | PMAP | $1,135 |
| Ucare | Medicare Replacement | $1,166 |
| Aetna | Medicare Replacement | $1,179 |
| Blue Cross Blue Shield of North Dakota | Medicare Replacement | $1,179 |
| Great Plains Medicare Advantage | Medicare Replacement | $1,179 |
| Health Partners | Medicare Replacement | $1,179 |
| United Healthcare | Medicare Replacement | $1,179 |
| Primewest | Medicare Replacement | $1,201 |
| Security Health Plan | Commercial | $1,210 |
| Blue Cross Blue Shield of North Dakota | Commercial | $1,491 |
| Health Partners | Commercial | $1,716 |
| Sanford Health Plan | Group Health/True/SD Exchange True | $1,737 |
| Medica | Choice | $1,815 |
| United Healthcare | Commercial | $1,837 |
| Aetna | Commercial | $1,912 |
| Ucare | Commercial | $1,933 |
| Medica | Elect | $1,940 |
| First Choice Health Network | Commercial | $1,980 |
| Healthez | Commercial | $1,980 |
| Multiplan | Commercial | $1,980 |
| Sanford Health Plan | Commercial/ND Pers/SD Exchange Commercial | $2,043 |
| Blue Cross Blue Shield of Minnesota | Commercial | $2,270 |
Inpatient
$1,760cash price (self-pay)
$2,200list price
$1,210–$2,043range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Security Health Plan | Commercial | $1,210 |
| Health Partners | Commercial | $1,716 |
| Sanford Health Plan | Group Health/True/SD Exchange True | $1,737 |
| Medica | Choice | $1,815 |
| United Healthcare | Commercial | $1,837 |
| Aetna | Commercial | $1,912 |
| Ucare | Commercial | $1,933 |
| Medica | Elect | $1,940 |
| First Choice Health Network | Commercial | $1,980 |
| Healthez | Commercial | $1,980 |
| Multiplan | Commercial | $1,980 |
| Sanford Health Plan | Commercial/ND Pers/SD Exchange Commercial | $2,043 |
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