Upper GI endoscopy with biopsy at Providence Medical Center. CPT 43239.
What Providence Medical Center publishes for this service, straight from its standard-charges file, last updated October 29, 2025.
Outpatient / ER
$2,385cash price (self-pay)
$2,511list price
$1,481–$2,461range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Health (Healthy Blue) | Managed Medicaid | $1,481 |
| Nebraska Total Care | Managed Medicaid | $1,481 |
| United Healthcare Community Plan | Managed Medicaid | $1,481 |
| Medica | Commercial | $2,260 |
| Aetna | Commercial | $2,310 |
| Blue Cross Blue Shield | Commercial | $2,385 |
| Ambetter | Commercial | $2,411 |
| Multiplan | Commercial | $2,411 |
| Midland's Choice | Commercial | $2,461 |
| United Healthcare | Commercial | $2,461 |
Inpatient
$2,385cash price (self-pay)
$2,511list price
$2,260–$2,461range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica | Commercial | $2,260 |
| Aetna | Commercial | $2,310 |
| Ambetter | Commercial | $2,411 |
| Multiplan | Commercial | $2,411 |
| Midland's Choice | Commercial | $2,461 |
| United Healthcare | Commercial | $2,461 |
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