Upper GI endoscopy with biopsy at Kenmore Mercy Hospital. CPT 43239.
What Kenmore Mercy Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$730cash price (self-pay)
$730list price
$41.68–$2,029range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup [350102] | BCBS Amerigroup Mcd [35010203] | $50.50 |
| Cigna Medicare HMO [450113] | Cigna Medicare HMO [45011301] | $59.83 |
| Hospice [550001] | Niagara [55000102] | $89.75 |
| Hospice [550001] | Erie [55000101] | $89.75 |
| BCBS Community Blue [100173] | Aqua [10017301] | $97.87 |
| BCBS Community Blue [100173] | HMO Align Select [10017311] | $97.87 |
| BCBS Community Blue [100173] | POS Align Select [10017312] | $97.87 |
| Blue Cross/Blue Shield [100151] | Healthy New York Bc [10015103] | $97.87 |
| Beacon Health Medicaid [350100] | Beacon Health Medicaid [35010001] | $108 |
| Beacon Medicaid Replacement Alt [350124] | Beacon Essential 3 And 4 Al | $108 |
| Aetna [100001] | Aetna PPO [10000101] | $143 |
| Beacon Health Options [100023] | Beacon Health Options [10002302] | $144 |
| Upmc Health Plan [100181] | Upmc Health Plan [10018101] | $663 |
| Baker/Confectionary Union [100158] | Baker/Confectionary Union [100158 | $682 |
| Commercial - Other [100172] | Mutual Of Omaha [10017211] | $682 |
| Commercial - Other [100172] | Wausau Insurance [10017205] | $682 |
| Humana [100052] | Humana PPO [10005202] | $682 |
| Commercial - Other [100172] | Commercial Other [10017215] | $682 |
| Commercial - Other [100172] | Gerber Life Ins [10017202] | $682 |
| Commercial - Other [100172] | Guardian [10017203] | $682 |
| Commercial - Other [100172] | Pomco [10017213] | $682 |
| Commercial - Other [100172] | Royal Sunalliance [10017209] | $682 |
| Roofers Local 74 [100155] | Roofers Local 74 [10015501] | $682 |
| Commercial - Other [100172] | Healthy Living Partnershi [10017212] | $682 |
| Core Source [100161] | Core Source [10016101] | $682 |
| Fireman'S Fund [100162] | Fireman'S Fund [10016201] | $682 |
| Commercial - Other [100172] | Tufts Health Plan [10017214] | $682 |
| Humana [100052] | Humana HMO/POS [10005201] | $682 |
| Humana [100052] | Humana One [10005203] | $682 |
| Affinity Health Plan [100129] | Affinity Essential Exchange [10012901] | $682 |
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