Upper GI endoscopy with biopsy at Saint Alphonsus Medical Center Baker City. CPT 43239.
What Saint Alphonsus Medical Center Baker City publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$301cash price (self-pay)
$301list price
$39.41–$1,763range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Rx Allwin | Medicare | $59.17 |
| Medicaid - Id | Medicaid | $95.80 |
| Bccp | Medicaid | $107 |
| Harbor Health | Medicaid | $107 |
| Mvp Medicaid Advantage | Medicaid | $107 |
| Vnsny Choice Medicaid | Medicaid | $107 |
| Medi-Cal Blue Cross | Medicaid | $107 |
| Medi-Cal | Medicaid | $107 |
| Peach State Healthplan | Medicaid | $107 |
| Medi-Cal Healthnet | Medicaid | $107 |
| Nascentia Health Options | Medicaid | $107 |
| Bcccp-Michigan | Medicaid | $107 |
| Priority Health Medicaid | Medicaid | $107 |
| Blue Cross Complete - Mi | Medicaid | $107 |
| Caresource Medicaid | Medicaid | $107 |
| Blue Cross - Tn Medicaid Advantage | Medicaid | $107 |
| Tenncare | Medicaid | $107 |
| New York Cancer Services Program | Medicaid | $107 |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | Medicaid | $107 |
| Maryland Healthy Smiles - Scion Dental | Medicaid | $107 |
| Mdwise | Medicaid | $107 |
| Childrens Medical Center Health Plan Managed Medicaid | Medicaid | $107 |
| Childrens Medical Services Title 19 | Medicaid | $107 |
| Parkland Community Health Plan | Medicaid | $107 |
| Independent Care Medicaid | Medicaid | $107 |
| Wellsense Health Plan | Medicaid | $107 |
| Dean Wi Badgercare | Medicaid | $107 |
| Ghc Scw Wi Badgercare | Medicaid | $107 |
| Care Wisconsin Medicaid | Medicaid | $107 |
| Positive Healthcare Partners Medicaid | Medicaid | $107 |
Inpatient
$554cash price (self-pay)
$554list price
$39.41–$228range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Rx Allwin | Medicare | $59.17 |
| Rx Medicare | Medicare | $59.17 |
| Pruitthealth Premier | Medicare | $59.17 |
| South Country Health Alliance Medicaid | Medicaid | $80.25 |
| Ucare Medicaid | Medicaid | $80.25 |
| Id County Other | Medicaid | $80.25 |
| Cmh North Country | Medicaid | $80.25 |
| Medicaid Spenddown | Medicaid | $80.25 |
| Blue Cross - Va (Anthem) | Regence BCBS | $139 |
| Blue Shield - Wa (Regence) | Regence BCBS | $139 |
| Blue Cross - Wa (Premera) | Regence BCBS | $139 |
| Blue Cross - Federal | Regence BCBS | $139 |
| Kaiser Domestic | Regence BCBS | $139 |
| Asuris Northwest Health | Regence Bs Id PPO\Ppp | $145 |
| Trinity Health Share | Multiplan | $169 |
| Wc Secura | Workers Comp | $185 |
| Wc Reny Company | Workers Comp | $185 |
| Wc Quiktrip | Workers Comp | $185 |
| Wc O'Hara Corp | Workers Comp | $185 |
| Wc Genex Care For Ohio | Workers Comp | $185 |
| Wc Medical Administrators | Workers Comp | $185 |
| Wc New York | Workers Comp | $185 |
| Wc Nca Comp | Workers Comp | $185 |
| Wc Price Chopper | Workers Comp | $185 |
| Wc Velocity | Workers Comp | $185 |
| Healthsmart Workers Comp | Workers Comp | $185 |
| Wc Am Trust N America | Workers Comp | $185 |
| Wc Alaska National Ins | Workers Comp | $185 |
| Wc California State Ins Fund | Workers Comp | $185 |
| Wc Northeast Health | Workers Comp | $185 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.
All common services at Saint Alphonsus Medical Center Baker City