Upper GI endoscopy with biopsy at Legacy Good Samaritan Medical Center. CPT 43239.
What Legacy Good Samaritan Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$671cash price (self-pay)
$1,032list price
$1,008–$7,569range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Medicare Managed Care Plan | $1,008 |
| Atrio | Medicare Managed Care Plan | $1,038 |
| Aetna | Medicare Managed Care Plan | $1,059 |
| HealthNet | Medicare Managed Care Plan | $1,069 |
| CareOregon | Medicare Managed Care Plan | $1,089 |
| Ageright | Medicare Managed Care Plan | $1,109 |
| Moda | Medicare Managed Care Plan | $1,129 |
| Kaiser | PEBB Other Commercial Plan | $2,016 |
| BCBS | Regence - Legacy LHP All Commercial Plans | $2,215 |
| BCBS | Regence - Blue HPN All Commercial Plans | $3,101 |
| BCBS | Regence All Commercial Plans | $3,247 |
| Moda | All Commercial Plans | $3,899 |
| HealthNet | All Commercial Plans | $4,275 |
| Cigna | LocalPlus All Commercial Plans | $5,288 |
| Aetna | All Commercial Plans | $6,073 |
| Cigna | All Commercial Plans | $6,796 |
| UnitedHealthCare | All Commercial Plans | $7,385 |
| First Health | All Commercial Plans | $7,569 |
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