Upper GI endoscopy with biopsy at CHI Health St. Francis. CPT 43239.
What CHI Health St. Francis publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$484cash price (self-pay)
$820list price
$189–$7,273range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | Medicaid|Community Plan | $189 |
| Centene | Medicaid|NE Total Care | $190 |
| Medica | Commercial|ACO | $260 |
| Creighton University Employees | Commercial|All Plans | $451 |
| United | Commercial|All Plans | $517 |
| ELAP | Commercial|All Plans | $525 |
| Medica | Commercial|Open Access | $681 |
| Midlands Choice | Commercial|Premier | $681 |
| Amerigroup | Medicaid|All Plans | $764 |
| Centene | Medicaid|IA Total Care | $764 |
| Midlands Choice | Commercial|Standard | $771 |
| MultiPlan PHCS | Commercial|All Plans | $771 |
| IAMolina | Medicaid|All Plans | $779 |
| BCBS - NE | Medicare|All Plans | $899 |
| Humana | Medicare|All Plans | $899 |
| Medica | Medicare|All Plans | $899 |
| United | Medicare|All Plans | $899 |
| Centene | Medicare|All Plans | $926 |
| Amerigroup | Medicare|All Plans | $944 |
| Great Plains | Medicare|All Plans | $944 |
| AMPS | Commercial|All Plans | $1,996 |
| Medica | Commercial|CHI Health | $2,461 |
| Medica | Commercial|All Other Plans | $2,892 |
| Greater Omaha Packing | Commercial|Narrow Network | $6,325 |
| Millard Public Schools | Commercial|Narrow Network | $6,325 |
| One World | Commercial|Narrow Network | $6,325 |
| Greater Omaha Packing | Commercial|Broad Network | $7,273 |
| Millard Public Schools | Commercial|Broad Network | $7,273 |
| One World | Commercial|Broad Network | $7,273 |
| Timpte | Commercial|Broad Network | $7,273 |
Inpatient
$484cash price (self-pay)
$820list price
$451–$771range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Creighton University Employees | Commercial|All Plans | $451 |
| United | Commercial|All Plans | $656 |
| Medica | Commercial|Open Access | $681 |
| Midlands Choice | Commercial|Premier | $681 |
| Midlands Choice | Commercial|Standard | $771 |
| MultiPlan PHCS | Commercial|All Plans | $771 |
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