Upper GI endoscopy with biopsy at St. Peters Health Partners. CPT 43239.
What St. Peters Health Partners publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$301cash price (self-pay)
$301list price
$43.67–$9,047range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Capital District Physicians Health Medicaid Advantage | Cdphp Medicaid | $207 |
| Molina Medicare Advantage | Pb Xr 100% Default | $301 |
| Health Choices | Pb Xr 100% Default | $301 |
| Dentaquest | Pb Xr 100% Default | $301 |
| Pace Of Southwest Michigan | Pb Xr 100% Default | $301 |
| Commonwealth Care Alliance | Pb Xr 100% Default | $301 |
| Harvard Pilgrim Healthcare | Pb Xr 100% Default | $301 |
| The Health Plan | Pb Xr 100% Default | $301 |
| Union Health Service | Pb Xr 100% Default | $301 |
| Everence | Pb Xr 100% Default | $301 |
| Rx Allwin | Pb Xr 100% Default | $301 |
| Rx Optima | Pb Xr 100% Default | $301 |
| Wc York Risk | Pb Xr 100% Default | $301 |
| Rx Union Pacific | Pb Xr 100% Default | $301 |
| Auto Allstate | Pb Xr 100% Default | $301 |
| Rx Informed Rx | Pb Xr 100% Default | $301 |
| Wc Broadspire | Pb Xr 100% Default | $301 |
| Rx Providence Health Plan | Pb Xr 100% Default | $301 |
| Wc North American Rishces | Pb Xr 100% Default | $301 |
| Rx Ohsu | Pb Xr 100% Default | $301 |
| Rx Pharmacy Associates | Pb Xr 100% Default | $301 |
| Wc Chartis | Pb Xr 100% Default | $301 |
| Rx Health Plus | Pb Xr 100% Default | $301 |
| Wc Guard Insurance Company | Pb Xr 100% Default | $301 |
| Wc Amerisure | Pb Xr 100% Default | $301 |
| Rx Mclaren Marketplace | Pb Xr 100% Default | $301 |
| Rx Inland Empire Health Plan | Pb Xr 100% Default | $301 |
| Rx Select Health | Pb Xr 100% Default | $301 |
| Wc Zenith | Pb Xr 100% Default | $301 |
| Rx Gateway Health Plan | Pb Xr 100% Default | $301 |
Inpatient
$349cash price (self-pay)
$349list price
$43.67–$349range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| The Health Plan | Pb Xr 100% Default | $349 |
| Health Choices | Pb Xr 100% Default | $349 |
| Union Health Service | Pb Xr 100% Default | $349 |
| Everence | Pb Xr 100% Default | $349 |
| Harvard Pilgrim Healthcare | Pb Xr 100% Default | $349 |
| Rx Allwin | Pb Xr 100% Default | $349 |
| Dentaquest | Pb Xr 100% Default | $349 |
| Molina Medicare Advantage | Pb Xr 100% Default | $349 |
| Commonwealth Care Alliance | Pb Xr 100% Default | $349 |
| Pace Of Southwest Michigan | Pb Xr 100% Default | $349 |
| Prairie States | Pb Xr 100% Default | $349 |
| Auto Generic | Pb Xr 100% Default | $349 |
| Auto Dairyland | Pb Xr 100% Default | $349 |
| Ohio Law Enforcement | Pb Xr 100% Default | $349 |
| Trinity Health Share | Pb Xr 100% Default | $349 |
| Albany County Nursing Home | Pb Xr 100% Default | $349 |
| Priority Health | Pb Xr 100% Default | $349 |
| Transamerica | Pb Xr 100% Default | $349 |
| Asrm - Reliance Standard Life Insurance | Pb Xr 100% Default | $349 |
| Cmh Newaygo County | Pb Xr 100% Default | $349 |
| Common Ground | Pb Xr 100% Default | $349 |
| Cmh Cass County | Pb Xr 100% Default | $349 |
| Wc Generic | Pb Xr 100% Default | $349 |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | Pb Xr 100% Default | $349 |
| Liability Other | Pb Xr 100% Default | $349 |
| New England Life | Pb Xr 100% Default | $349 |
| Rx Bestchoicerx | Pb Xr 100% Default | $349 |
| Wc Srs | Pb Xr 100% Default | $349 |
| Cmh Central Mi County | Pb Xr 100% Default | $349 |
| Memorial Integrated Health | Pb Xr 100% Default | $349 |
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