Upper GI endoscopy with biopsy at Ascension Saint Thomas Midtown. CPT 43239.
What Ascension Saint Thomas Midtown publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$808–$3,284range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Point Comfort Underwriters | 1229_medicare Advantage Point Comfort Und | $808 |
| Amerigroup | 1217_medicaid Replacement Amerigroup Outpatient 20250101 | $835 |
| Tricare | 291_tricare Op 20160101 | $862 |
| Americhoice Mcr Replacement | 1219_americhoice Medicare Outpatient 202 | $889 |
| Ascension Complete Medicare Advantage | 1220_ascension Complete Medica | $898 |
| Centurion Of Tn | 1224_medicare Advantage Centurion Of Tn Outpatient 2 | $898 |
| Clover Medicare Advantage | 1225_medicare Advantage Clover Outpatient | $898 |
| Healthspring Mcr Replacement | 1226_medicare Advantage Healthspring Ou | $898 |
| Humana Mcr Replacement | 1227_medicare Advantage Humana Outpatient 202 | $898 |
| Medicare Other | 1232_medicare Other Outpatient 20250101 | $898 |
| Nhc Advantage | 1228_medicare Advantage Nhc Outpatient 20250101 | $898 |
| Optum Va | 1215_medicare Advantage Optum Va Outpatient 20250101 | $898 |
| Triwest Va Pccc | 1216_medicare Triwest Outpatient 20250101 | $898 |
| UHC Mcr Replacement | 1230_medicare Advantage United Health Care Outpa | $898 |
| Aetna Medadvantage | 1231_medicare Aetna Outpatient 20250101 | $916 |
| Amerigroup Mcr Replacement | 1221_medicare Advantage Amerigroup Outpat | $925 |
| BCBS Blucare Plus | 1222_medicare Advantage Blue Cross Blue Shield Blu | $934 |
| BCBS Medicare Replacement | 1223_medicare Advantage Blue Cross Blue Sh | $943 |
| Windsor Medicare | 1233_medicare Wellcare (Windsor) Outpatient 2025010 | $943 |
| Ambetter Of Tn | 1212_ambetter Of Tn Outpatient 20250101 | $1,167 |
| Oscar Health Plan | 1213_bhtn Oscar Health Outpatient 20250101 | $1,257 |
| Smart Health | 1214_bhtn Ascension Smarthealth Outpatient 20250101 | $1,257 |
| Cigna Localplus | 1315_bhtn Cigna Localplus 20250601 | $1,492 |
| BCBS Missionpoint | 1012_blue Cross Blue Shield Missionpoint 20221001 | $1,535 |
| Cigna HMO | 1314_bhtn Cigna HMO 20250601 | $2,463 |
Inpatient
—cash price (self-pay)
—list price
$808–$1,257range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Point Comfort Underwriters | 1327_medicare Advantage Point Comfort Und | $808 |
| Americhoice Mcr Replacement | 1323_americhoice Medicare Inpatient 2025 | $844 |
| Tricare | 1319_tricare Ip 20251001 | $862 |
| Ascension Complete Medicare Advantage | 1335_ascension Complete Medica | $898 |
| Centurion Of Tn | 1332_medicare Advantage Centurion Of Tn Inpatient 20 | $898 |
| Clover Medicare Advantage | 1331_medicare Advantage Clover Inpatient 2 | $898 |
| Covid Uninsured Test Fund | 1320_covid Uninsured Test Fund Inpatient 2 | $898 |
| Healthspring Mcr Replacement | 1330_medicare Advantage Healthspring In | $898 |
| Humana Mcr Replacement | 1329_medicare Advantage Humana Inpatient 2025 | $898 |
| Medicare Other | 1322_medicare Other Inpatient 20251001 | $898 |
| Nhc Advantage | 1328_medicare Advantage Nhc Inpatient 20251001 | $898 |
| Optum Va | 1338_medicare Advantage Optum Va Inpatient 20251001 | $898 |
| Triwest Va Pccc | 1339_medicare Triwest Inpatient 20251001 | $898 |
| UHC Mcr Replacement | 1324_uhc Medicare Inpatient 20251001 | $898 |
| Aetna Medadvantage | 1326_medicare Aetna Inpatient 20251001 | $916 |
| Amerigroup Mcr Replacement | 1334_medicare Advantage Amerigroup Inpati | $925 |
| BCBS Blucare Plus | 1333_medicare Advantage Blue Cross Blue Shield Blu | $934 |
| BCBS Medicare Replacement | 1340_medicare Advantage Blue Cross Blue Sh | $943 |
| Windsor Medicare | 1325_medicare Wellcare (Windsor) Inpatient 20251001 | $943 |
| Ambetter Of Tn | 1337_ambetter Of Tn Inpatient 20251001 | $1,167 |
| Smart Health | 1321_bhtn Ascension Smarthealth Inpatient 20251001 | $1,257 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.