Upper GI endoscopy with biopsy at St. Charles Madras. CPT 43239.
What St. Charles Madras publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,502cash price (self-pay)
$1,878list price
$451–$2,955range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHAMP VA [700] | Veteran Affairs | $451 |
| SAMARITAN HEALTH PLAN MED ADV [141] | Medicare | $451 |
| UNICARE [133] | Medicare | $451 |
| MEDICARE [100] | Medicare | $451 |
| HUMANA MC AB REBILL [176] | Medicare | $451 |
| KAISER PERMANENTE MED ADV [136] | Medicare | $451 |
| PACIFICSOURCE MEDICARE ADVANTAGE [126] | PacificSource Medicare | $475 |
| PROVIDENCE MEDICARE ADV [137] | Providence Medicare | $523 |
| TRILLIUM MEDICAID [535] | Oregon Medicaid CCO | $770 |
| HEALTH SHARE CARE OREGON [526] | Oregon Medicaid CCO | $770 |
| JACKSON CARE CONNECT [542] | Oregon Medicaid CCO | $770 |
| INTERCOMMUNITY HEALTH [530] | Oregon Medicaid CCO | $770 |
| MODA MEDICAID [528] | Eastern Oregon CCO | $770 |
| HEALTH SHARE [537] | Oregon Medicaid CCO | $770 |
| HEALTH SHARE KAISER [543] | Oregon Medicaid CCO | $770 |
| WILLAMETTE VALLEY COMMUNITY HEALTH [536] | Oregon Medicaid CCO | $770 |
| CASCADE HEALTH ALLIANCE [532] | Oregon Medicaid CCO | $770 |
| LAW ENFORCEMENT [701] | SCHS HB Oregon Department of Corrections | $932 |
| CIGNA [337] | Cigna | $1,183 |
| PROVIDENCE HEALTH PLAN [347] | Providence Health Plan Individual | $1,315 |
| KAISER PERMANENTE [334] | First Choice Health Network | $1,626 |
| MERITAIN HEALTH [300] | Aetna | $1,634 |
| PROVIDENCE HEALTH PLAN [347] | Providence Health Plan | $1,643 |
| UNITED HEALTHCARE [338] | United Healthcare | $1,735 |
| PLANNED ADMINISTRATORS INC [375] | First Health | $1,840 |
| PHILADELPHIA AMERICAN LIFE INSURANCE COMPANY [395] | First Health | $1,840 |
| OTJ HARTFORD [655] | Oregon Workers Compensation | $1,878 |
| OTJ CHARTIS CLAIMS [650] | Oregon Workers Compensation | $1,878 |
| OTJ CCMSI [618] | Oregon Workers Compensation | $1,878 |
| OTJ PENSER NO AMERICAN [663] | Oregon Workers Compensation | $1,878 |
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