Upper GI endoscopy with biopsy at Mount Carmel Grove City. CPT 43239.
What Mount Carmel Grove City publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$446cash price (self-pay)
—list price
$95.32–$6,061range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicare Advantage | Aetna Medicare Advantage | $191 |
| Union Health Service | Pb Xr 100% Default | $447 |
| Molina Medicare Advantage | Pb Xr 100% Default | $447 |
| The Health Plan | Pb Xr 100% Default | $447 |
| Harvard Pilgrim Healthcare | Pb Xr 100% Default | $447 |
| Commonwealth Care Alliance | Pb Xr 100% Default | $447 |
| Rx Allwin | Pb Xr 100% Default | $447 |
| Dentaquest | Pb Xr 100% Default | $447 |
| Everence | Pb Xr 100% Default | $447 |
| Pace Of Southwest Michigan | Pb Xr 100% Default | $447 |
| Blue Cross - Wv (Highmark) Medicare Advantage | Pb Xr 100% Default | $447 |
| Blue Cross - Ok Medicare Advantage | Pb Xr 100% Default | $447 |
| Blue Cross - Nm Medicare Advantage | Pb Xr 100% Default | $447 |
| Devoted Health Medicare Advantage | Pb Xr 100% Default | $447 |
| Brand New Day Medicare Advantage | Pb Xr 100% Default | $447 |
| Core Care Select Medicare Advantage | Pb Xr 100% Default | $447 |
| Edward Hines Va | Pb Xr 100% Default | $447 |
| Marsh | Pb Xr 100% Default | $447 |
| Operating Engineers | Pb Xr 100% Default | $447 |
| Medico | Pb Xr 100% Default | $447 |
| Wps | Pb Xr 100% Default | $447 |
| Transamerica | Pb Xr 100% Default | $447 |
| Priority Health | Pb Xr 100% Default | $447 |
| Prairie States | Pb Xr 100% Default | $447 |
| Twin Valley Psychiatric | Pb Xr 100% Default | $447 |
| Us Lab | Pb Xr 100% Default | $447 |
| Upmc Health Plan | Pb Xr 100% Default | $447 |
| Van Rensselaer Manor | Pb Xr 100% Default | $447 |
| Utica National Insurance Group | Pb Xr 100% Default | $447 |
| Utah Idaho Teamsters Security Fund | Pb Xr 100% Default | $447 |
Inpatient
$301cash price (self-pay)
$301list price
$39.41–$360range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Choices | Pb Xr 100% Default | $301 |
| Molina Medicare Advantage | Pb Xr 100% Default | $331 |
| Pace Of Southwest Michigan | Pb Xr 100% Default | $331 |
| Union Health Service | Pb Xr 100% Default | $331 |
| The Health Plan | Pb Xr 100% Default | $331 |
| Dentaquest | Pb Xr 100% Default | $331 |
| Everence | Pb Xr 100% Default | $331 |
| Commonwealth Care Alliance | Pb Xr 100% Default | $331 |
| Harvard Pilgrim Healthcare | Pb Xr 100% Default | $331 |
| Rx Allwin | Pb Xr 100% Default | $331 |
| Curative | Pb Xr 100% Default | $331 |
| Brms | Pb Xr 100% Default | $331 |
| Carecentrix Medicare Advantage | Pb Xr 100% Default | $331 |
| Tribute Health Plans | Pb Xr 100% Default | $331 |
| Blue Cross - NY (Excellus) Medicare Advantage | Pb Xr 100% Default | $331 |
| Blue Shield - Pa (Highmark) Medicare Advantage | Pb Xr 100% Default | $331 |
| Medical Mutual Medicare | Pb Xr 100% Default | $331 |
| Blue Cross - Ky (Anthem) Medicare Advantage | Pb Xr 100% Default | $331 |
| Blue Cross - Ga (Anthem) Medicare Advantage | Pb Xr 100% Default | $331 |
| Hap Empowered Mi Health Link Medicare Dual | Pb Xr 100% Default | $331 |
| Blue Cross - NY (Anthem) Medicare Advantage | Pb Xr 100% Default | $331 |
| Connecticare Vip Medicare | Pb Xr 100% Default | $331 |
| Total Healthcare Medicare Snp | Pb Xr 100% Default | $331 |
| Cardea Benefits Limited | Pb Xr 100% Default | $331 |
| Wc Broward County | Pb Xr 100% Default | $331 |
| Point Comfort Underwriters | Pb Xr 100% Default | $331 |
| Novanet | Pb Xr 100% Default | $331 |
| Security Administrative Services - Indiana | Pb Xr 100% Default | $331 |
| Wellpath | Pb Xr 100% Default | $331 |
| Gerber Life Insurance | Pb Xr 100% Default | $331 |
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