Upper GI endoscopy with biopsy at lutheran hospital. CPT 43239.
What lutheran hospital publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
$2,803cash price (self-pay)
$4,313list price
$257–$4,338range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | PPO/HMO | $257 |
| ANTHEM | Managed Medicaid | $673 |
| Buckeye | Managed Medicaid | $673 |
| MOLINA | Managed Medicaid | $673 |
| CARESOURCE | Managed Medicaid | $686 |
| AMERIHEALTH | Managed Medicaid | $705 |
| Aetna | Medicare Advantage | $858 |
| Anthem | Medicare Advantage | $858 |
| Devoted Health | Medicare Advantage | $858 |
| HUMANA | Medicare Advantage HMO | $869 |
| MMO | Medicare Advantage HMO | $869 |
| OPTUM | All Products VA | $869 |
| Cigna | Medicare Advantage | $884 |
| MMO | Medicare Advantage PPO | $895 |
| CommuniCare | MEDICARE ADVANTAGE | $901 |
| Cc Ehp | All Products | $1,458 |
| Aultcare | PPO/HMO | $1,786 |
| Amish Community Aid Plan | ALL PRODUCTS | $1,941 |
| Ohcp | All Products | $2,096 |
| Omas | All Products | $2,157 |
| Mmo | Traditional | $2,256 |
| Mmo | Nasco | $2,256 |
| Ohio Healthy | TRANSPLANT | $2,329 |
| Healthsmart | All Products | $2,372 |
| Anthem | Traditional | $2,417 |
| Mmo | All Products | $2,593 |
| Cigna | All Products | $2,750 |
| Gms | All Products | $3,019 |
| Medical Benefit Corp | Transplant SMCP | $3,019 |
| Aetna | All Products | $3,235 |
Inpatient
$2,803cash price (self-pay)
$4,313list price
$1,220–$4,313range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oscar | All Products | $1,557 |
| Amish Community Aid Plan | ALL PRODUCTS | $2,157 |
| Anthem | Traditional | $2,495 |
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