Upper GI endoscopy with biopsy at Otto Kaiser Memorial Hospital. CPT 43239.
What Otto Kaiser Memorial Hospital publishes for this service, straight from its standard-charges file, last updated June 9, 2026.
Outpatient / ER
$2,010cash price (self-pay)
$2,010list price
$391–$5,729range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Superior STAR | Managed Medicaid | $782 |
| Superior CHIP | Managed Medicaid | $782 |
| Superior Foster Kids | Managed Medicaid | $782 |
| Superior Perinate | Managed Medicaid | $782 |
| Superior Star+Plus | Managed Medicaid | $782 |
| United HealthCare | Managed Medicaid | $821 |
| Aetna Health Inc. | Medicare Advantage | $2,492 |
| Christus Exchange | Commercial | $2,492 |
| Multiplan | Workers Compensation | $2,492 |
| Sedgewick | Workers Compensation | $2,492 |
| Triwest Va | Commercial | $2,492 |
| United HealthCare | Medicare Advantage | $2,492 |
| Humana | Medicare Advantage | $2,518 |
| AllWell | Medicare Advantage | $2,617 |
| Cigna HealthCare | Commercial | $2,774 |
| Humana | PPO | $2,814 |
| CorCare Healthcare | Commercial | $2,814 |
| Provider Partners Health | Medicare Advantage | $2,866 |
| Texas Independence Health | Medicare Advantage | $2,866 |
| United HealthCare | Commercial | $3,417 |
| IMS | Commercial | $3,618 |
| Multiplan PHCS | Commercial | $3,618 |
| Blue Cross Blue Shield | Traditional Indemnity | $3,819 |
| Blue Cross Blue Shield | PPO/POS Network | $3,819 |
| Blue Cross Blue Shield | Essentials Network | $3,819 |
| Coventry | Commercial | $3,819 |
| Coventry | Workers Compensation | $3,819 |
| Galaxy Health Network | Commercial | $3,819 |
| HealthSmart | Commercial | $3,819 |
| Omni | Commercial | $3,819 |
Inpatient
$103cash price (self-pay)
$2,010list price
$60.77–$3,247range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Superior STAR | Managed Medicaid | $391 |
| Superior CHIP | Managed Medicaid | $391 |
| Superior Foster Kids | Managed Medicaid | $391 |
| Superior Perinate | Managed Medicaid | $391 |
| Superior Star+Plus | Managed Medicaid | $391 |
| United HealthCare | Managed Medicaid | $410 |
| Aetna Health Inc. | Medicare Advantage | $1,186 |
| Christus Exchange | Commercial | $1,186 |
| Multiplan | Workers Compensation | $1,186 |
| Sedgewick | Workers Compensation | $1,186 |
| Triwest Va | Commercial | $1,186 |
| United HealthCare | Medicare Advantage | $1,186 |
| Humana | Medicare Advantage | $1,198 |
| AllWell | Medicare Advantage | $1,245 |
| Provider Partners Health | Medicare Advantage | $1,364 |
| Texas Independence Health | Medicare Advantage | $1,364 |
| Cigna HealthCare | Commercial | $1,387 |
| Humana | PPO | $1,407 |
| CorCare Healthcare | Commercial | $1,407 |
| United HealthCare | Commercial | $1,568 |
| IMS | Commercial | $1,809 |
| Multiplan PHCS | Commercial | $1,809 |
| Blue Cross Blue Shield | Traditional Indemnity | $1,910 |
| Blue Cross Blue Shield | PPO/POS Network | $1,910 |
| Blue Cross Blue Shield | Essentials Network | $1,910 |
| Coventry | Commercial | $1,910 |
| Coventry | Workers Compensation | $1,910 |
| Galaxy Health Network | Commercial | $1,910 |
| HealthSmart | Commercial | $1,910 |
| Omni | Commercial | $1,910 |
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