Upper GI endoscopy with biopsy at Great Plains Health. CPT 43239.
What Great Plains Health publishes for this service, straight from its standard-charges file.
Outpatient / ER
$4,614cash price (self-pay)
$7,690list price
$127–$7,306range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Nebraska Total Care | Medicare Advantage | $2,009 |
| Molina | Medicare Advantage | $2,192 |
| Ambetter | Commercial | $2,539 |
| Blue Cross and Blue Shield of Nebraska | Commercial | $3,786 |
| Midlands Choice | Commercial | $4,183 |
| Midwest Network Alliance | Owner | $6,473 |
| Midwest Network Alliance | Non-Owner | $6,703 |
| Medica | Commercial | $7,075 |
| Oscar Health | Midlands Premier | $7,152 |
| Coventry | HMO | $7,229 |
| GEHA | Commercial | $7,229 |
| Coventry | PPO | $7,306 |
| Mutual of Omaha | Commercial | $7,306 |
| United Health Care | Commercial | $7,306 |
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