Upper GI endoscopy with biopsy at Stephens Memorial Hospital. CPT 43239.
What Stephens Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 24, 2026.
Outpatient / ER
$1,273cash price (self-pay)
$1,874list price
$100–$1,574range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Advantage HMO | Advantage HMO | $100 |
| Molina Medicaid | HMO | $335 |
| Aetna Better Health Medicaid | HMO | $335 |
| Superior Medicaid | HMO | $335 |
| Firstcare Medicaid | HMO | $335 |
| UHC Medicaid Replacement | HMO | $335 |
| Amerigroup Medicaid | HMO | $335 |
| United Healthcare Medicare Advantage | Medicare Advantage | $675 |
| Humana Medicare Advantage | Medicare Advantage | $708 |
| Blue Cross HMO | HMO | $1,100 |
| Blue Cross PPO/POS | PPO/POS | $1,226 |
| Blue Cross Traditional | Traditional | $1,289 |
| Cigna - HMO/PPO/POS | HMO/PPO/POS | $1,330 |
| UHC Contract - HMO/PPO/POS | HMO/PPO/POS | $1,472 |
| Aetna - HMO/PPO/POS | HMO/PPO/POS | $1,574 |
Inpatient
$1,273cash price (self-pay)
$1,874list price
$1,330–$1,574range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna - HMO/PPO/POS | HMO/PPO/POS | $1,330 |
| Blue Cross PPO/POS | PPO/POS | $1,499 |
| Blue Cross Traditional | Traditional | $1,499 |
| Blue Cross HMO | HMO | $1,574 |
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