Upper GI endoscopy with biopsy at Holy Cross Hospital - Jordan Valley. CPT 43239.
What Holy Cross Hospital - Jordan Valley publishes for this service, straight from its standard-charges file, last updated February 11, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$110–$864range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UUHP | Managed Medicaid | $110 |
| Rocky Mountain Health Plan | Managed Medicaid | $110 |
| Molina | Managed Medicaid | $110 |
| Health Choice | Managed Medicaid | $110 |
| Aetna | Managed Medicaid | $110 |
| Medicare | Medicare | $126 |
| Medicare | Managed Medicare | $126 |
| Humana | Managed Medicare | $126 |
| Employer Direct Healthcare | Commercial PPO/POS/HMO | $159 |
| MotivHealth | Commercial PPO/POS/HMO | $168 |
| Molina | Commercial PPO/POS/HMO | $273 |
| Regence Blue Cross Blue Shield | Commercial UVU | $864 |
| Regence Blue Cross Blue Shield | Commercial Savewell | $864 |
| Regence Blue Cross Blue Shield | Commercial PPO | $864 |
| Regence Blue Cross Blue Shield | Commercial PAR | $864 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.