Upper GI endoscopy with biopsy at St. Mary Medical Center. CPT 43239.
What St. Mary Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$3,257cash price (self-pay)
—list price
$39.10–$5,594range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Highmark Wholecare Medicaid | Gateway Health Medicaid | $59.04 |
| Upmc Medicaid Advantage | Upmc Health Plan Medicaid | $77.01 |
| Allwell Pa Health & Wellness Medicaid Advantage | Pa Health And Wellne | $77.01 |
| Blue Cross - Pa (Independence) Medicare Advantage | Independence Blue | $1,523 |
| Cigna Medicare Advantage | Cigna Healthspring Medicare Advantage | $1,538 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $1,612 |
| Allwell Medicare Advantage | Pa Health & Wellness Medicare Advantage | $1,645 |
| Highmark Wholecare Medicare Advantage | Highmark Wholecare Medicare Ad | $1,752 |
| Coventry Medicare Advantage | Coventry Advantra Medicare Advantage | $1,828 |
| United Healthcare Medicaid | UHC Community Plan Medicaid | $1,958 |
| Blue Cross - MA | Independence Blue Cross HMO/PPO | $2,213 |
| Blue Cross - Nv (Anthem) | Independence Blue Cross HMO/PPO | $2,213 |
| Blue Cross - Nh (Anthem) | Independence Blue Cross HMO/PPO | $2,213 |
| Blue Cross - La | Independence Blue Cross HMO/PPO | $2,213 |
| Blue Cross - Oh (Anthem) | Independence Blue Cross HMO/PPO | $2,213 |
| Blue Cross - Sd (Wellmark) | Independence Blue Cross HMO/PPO | $2,213 |
| Blue Cross - Al | Independence Blue Cross HMO/PPO | $2,213 |
| Blue Cross - Ne | Independence Blue Cross HMO/PPO | $2,213 |
| Blue Cross - Md (Carefirst) | Independence Blue Cross HMO/PPO | $2,213 |
| Blue Cross - Id | Independence Blue Cross HMO/PPO | $2,213 |
| Blue Shield - Id (Regence) | Independence Blue Cross HMO/PPO | $2,213 |
| Blue Cross - In (Anthem) | Independence Blue Cross HMO/PPO | $2,213 |
| Blue Cross - Ks | Independence Blue Cross HMO/PPO | $2,213 |
| Blue Cross - Ky (Anthem) | Independence Blue Cross HMO/PPO | $2,213 |
| Blue Cross - FL | Independence Blue Cross HMO/PPO | $2,213 |
| Blue Cross - Ga (Anthem) | Independence Blue Cross HMO/PPO | $2,213 |
| Blue Cross - Mo (Anthem) | Independence Blue Cross HMO/PPO | $2,213 |
| Blue Cross - Ar | Independence Blue Cross HMO/PPO | $2,213 |
| Blue Cross - CA (Anthem) | Independence Blue Cross HMO/PPO | $2,213 |
| Blue Cross - De (Highmark) | Independence Blue Cross HMO/PPO | $2,213 |
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