Upper GI endoscopy with biopsy at CHI Health St. Elizabeth. CPT 43239.

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

Outpatient / ER

$1,576cash price (self-pay)

$3,151list price

$260–$7,934range insurers pay

Insurance plan	Negotiated rate
Medica \| Commercial\|ACO	$260
United \| Medicaid\|Community Plan	$725
Centene \| Medicaid\|NE Total Care	$732
Amerigroup \| Medicaid\|All Plans	$764
Centene \| Medicaid\|IA Total Care	$764
IAMolina \| Medicaid\|All Plans	$779
BCBS - NE \| Medicare\|All Plans	$905
Great Plains \| Medicare\|All Plans	$905
Humana \| Medicare\|All Plans	$905
Medica \| Medicare\|All Plans	$905
United \| Medicare\|All Plans	$905
Centene \| Medicare\|All Plans	$932
Amerigroup \| Medicare\|All Plans	$950
ELAP \| Commercial\|All Plans	$1,796
Medica \| Commercial\|Open Access	$1,954
Midlands Choice \| Commercial\|Premier	$1,954
AMPS \| Commercial\|All Plans	$2,009
Midlands Choice \| Commercial\|Standard	$2,174
Medica \| Commercial\|CHI Health	$2,461
MultiPlan PHCS \| Commercial\|All Plans	$2,678
Medica \| Commercial\|All Other Plans	$2,892
Greater Omaha Packing \| Commercial\|Narrow Network	$3,068
Millard Public Schools \| Commercial\|Narrow Network	$3,068
One World \| Commercial\|Narrow Network	$3,068
Greater Omaha Packing \| Commercial\|Broad Network	$3,528
Millard Public Schools \| Commercial\|Broad Network	$3,528
One World \| Commercial\|Broad Network	$3,528
Timpte \| Commercial\|Broad Network	$3,528
Creighton University Employees \| Commercial\|All Plans	$6,675
United \| Commercial\|All Plans	$7,934

$1,576cash price (self-pay)

$3,151list price

$1,954–$2,521range insurers pay

Insurance plan	Negotiated rate
Medica \| Commercial\|Open Access	$1,954
Midlands Choice \| Commercial\|Premier	$1,954
MultiPlan PHCS \| Commercial\|All Plans	$2,521

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