Upper GI endoscopy with biopsy at Mercy Hospital Ada. CPT 43239.
What Mercy Hospital Ada publishes for this service, straight from its standard-charges file, last updated June 11, 2026.
Outpatient / ER
$3,780cash price (self-pay)
$5,815list price
$120–$2,021range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Medicare Advantage Contracted [320047] | Hb Ada Medicare/Mgd Medi | $898 |
| Aetna Medicare Advantage Contracted [320010] | Hb Ada Medicare/Mgd Med | $898 |
| Kindful Hospice [20434] | Hb Ada Medicare/Mgd Medicare 100% | $898 |
| Medical Associates Health [20444] | Hb Ada Medicare/Mgd Medicare 100% | $898 |
| Elara Caring Aspire Hospice [20433] | Hb Ada Medicare/Mgd Medicare 100 | $898 |
| Halo Hcr Inc Hospice [20432] | Hb Ada Medicare/Mgd Medicare 100% | $898 |
| Tricare [20380] | Hb Ada Tricare | $898 |
| Windsor Medicare [20424] | Hb Ada Medicare/Mgd Medicare 100% | $898 |
| Mental Health Network Medicare [20250] | Hb Ada Medicare/Mgd Medicare | $898 |
| Mercy Hospice Okc [20252] | Hb Ada Medicare/Mgd Medicare 100% | $898 |
| Independent Health [20197] | Hb Ada Medicare/Mgd Medicare 100% | $898 |
| Medicare [20244] | Hb Ada Medicare/Mgd Medicare 100% | $898 |
| Horizons Medicare [20190] | Hb Ada Medicare/Mgd Medicare 100% | $898 |
| Generic Medicare Managed Care [20137] | Hb Ada Medicare/Mgd Medicare 1 | $898 |
| Health First Health Plans Medicare [20170] | Hb Ada Medicare/Mgd Medic | $898 |
| Cross Timbers Hospice [20098] | Hb Ada Medicare/Mgd Medicare 100% | $898 |
| BCBS Medicare Advantage [20047] | Hb Ada Medicare/Mgd Medicare 100% | $898 |
| Essence Healthcare Medicare Contracted [320122] | Hb Ada Medicare/Mgd | $898 |
| Dept Of Veteran Affairs Contracted [320106] | Hb Ada Medicare/Mgd Medi | $898 |
| Cherokee Nation Health Serv Contracted [320066] | Hb Ada Medicare/Mgd | $898 |
| Humana Medicare Advantage Contracted [320194] | Hb Ada Humana Mcr Adva | $898 |
| Indian Health Service Contracted [320198] | Hb Ada Medicare/Mgd Medica | $898 |
| Longevity Health Plan Medicare Contracted [320225] | Hb Ada Medicare/M | $898 |
| Kindful Hospice Contracted [320434] | Hb Ada Medicare/Mgd Medicare 100 | $898 |
| United Healthcare Medicare Advantage Contracted [320398] | Hb Ada Medi | $898 |
| Wellcare Medicare Advantage Contracted [320421] | Hb Ada Medicare/Mgd | $898 |
| Elara Caring Aspire Hospice Contracted [320433] | Hb Ada Medicare/Mgd | $898 |
| Halo Hcr Inc Hospice Contracted [320432] | Hb Ada Medicare/Mgd Medicar | $898 |
| Nhc Advantage Medicare Contracted [320282] | Hb Ada Medicare/Mgd Medic | $898 |
| Tricare Contracted [320380] | Hb Ada Medicare/Mgd Medicare 100% | $898 |
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