Upper GI endoscopy with biopsy at St. Charles Prineville. CPT 43239.

What St. Charles Prineville 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

$526–$2,955range insurers pay

Insurance plan	Negotiated rate
SAMARITAN HEALTH PLAN MED ADV [141] \| Medicare	$526
CHAMP VA [700] \| Veteran Affairs	$526
COVID-19 MEDICARE ALT PAYOR [805] \| Medicare	$526
HUMANA MC AB REBILL [176] \| Medicare	$526
UHC MEDICARE ADVANTAGE [127] \| Medicare	$526
DEVOTED HEALTH INC [145] \| Medicare	$526
HEALTH NET MED ADV [135] \| Medicare	$526
TRICARE [705] \| Tricare	$573
HEALTH SHARE [537] \| Oregon Medicaid CCO	$657
HEALTH SHARE KAISER [543] \| Oregon Medicaid CCO	$657
WILLAMETTE VALLEY COMMUNITY HEALTH [536] \| Oregon Medicaid CCO	$657
HEALTH SHARE CARE OREGON [526] \| Oregon Medicaid CCO	$657
MODA MEDICAID [528] \| Eastern Oregon CCO	$657
OREGON MEDICAID [500] \| Oregon Medicaid	$657
INTERCOMMUNITY HEALTH [530] \| Oregon Medicaid CCO	$657
PROVIDENCE HEALTH PLAN [347] \| Providence Health Plan	$1,643
PLANNED ADMINISTRATORS INC [375] \| First Health	$1,840
MANHATTAN LIFE INSURANCE COMPANY [379] \| First Health	$1,840
PHILADELPHIA AMERICAN LIFE INSURANCE COMPANY [395] \| First Health	$1,840
AUTO HARTFORD [612] \| Auto Insurance	$1,878
OTJ TRISTAR [673] \| Oregon Workers Compensation	$1,878
AUTO GEICO CLAIMS OREGON [606] \| Auto Insurance	$1,878
AUTO STATE FARM CLAIMS [609] \| Auto Insurance	$1,878
AUTO USAA [611] \| Auto Insurance	$1,878
AUTO SAFECO CONCENTRA [600] \| Auto Insurance	$1,878
AUTO PROGRESSIVE [608] \| Auto Insurance	$1,878
AUTO TRAVELERS INSURANCE [615] \| Auto Insurance	$1,878
AUTO FARMERS [605] \| Auto Insurance	$1,878
OTJ CORVEL [676] \| Oregon Workers Compensation	$1,878
OTJ ESIS WEST WC CLAIMS [653] \| Oregon Workers Compensation	$1,878

Billed more than this?

Snap a photo of your bill. We compare every line with these prices and coding rules, free.