Upper GI endoscopy with biopsy at CHI Health Midlands. CPT 43239.

What CHI Health Midlands publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$1,925cash price (self-pay)

$4,583list price

$260–$3,896range insurers pay

Insurance plan	Negotiated rate
Medica \| Commercial\|ACO	$260
Amerigroup \| Medicaid\|All Plans	$764
Centene \| Medicaid\|IA Total Care	$764
IAMolina \| Medicaid\|All Plans	$779
Centene \| Medicaid\|NE Total Care	$825
United \| Medicaid\|Community Plan	$825
BCBS - NE \| Medicare\|All Plans	$914
Humana \| Medicare\|All Plans	$914
Medica \| Medicare\|All Plans	$914
PACE \| Medicare\|All Plans	$914
United \| Medicare\|All Plans	$914
Todays Options \| Medicare\|All Plans	$932
Centene \| Medicare\|All Plans	$941
Amerigroup \| Medicare\|All Plans	$959
Great Plains \| Medicare\|All Plans	$959
ELAP \| Commercial\|All Plans	$1,283
Medica \| Commercial\|CHI Health	$1,701
Creighton University Employees \| Commercial\|All Plans	$1,879
AMPS \| Commercial\|All Plans	$2,028
United \| Commercial\|All Plans	$2,154
Medica \| Commercial\|All Other Plans	$2,322
Medica \| Commercial\|Open Access	$2,383
Midlands Choice \| Commercial\|Premier	$2,383
QuikTrip \| Commercial\|All Plans	$2,750
Greater Omaha Packing \| Commercial\|Narrow Network	$3,034
Millard Public Schools \| Commercial\|Narrow Network	$3,034
One World \| Commercial\|Narrow Network	$3,034
Midlands Choice \| Commercial\|Standard	$3,437
PHCS \| Commercial\|All Plans	$3,437
Greater Omaha Packing \| Commercial\|Broad Network	$3,489

$1,925cash price (self-pay)

$4,583list price

$2,750–$3,896range insurers pay

Insurance plan	Negotiated rate
QuikTrip \| Commercial\|All Plans	$2,750
PHCS \| Commercial\|All Plans	$3,254
MultiPlan \| Commercial\|All Plans	$3,896

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