Upper GI endoscopy with biopsy at Mary Immaculate Hospital. CPT 43239.
What Mary Immaculate Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$3,877cash price (self-pay)
$7,156list price
$885–$1,910range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicare [1003] | Aetna Medicare Advantage HMO [103003] | $1,379 |
| UHC Medicare [1011] | Unitedhealthcare Dual Complete [1011009] | $1,872 |
| UHC Medicare [1011] | UHC Aarp Medicare Advantage [1011017] | $1,872 |
| UHC Medicare [1011] | UHC Medicare Complete [44] | $1,872 |
| Aetna Medicare [1003] | Aetna Medicare-Advantage PPO [103002] | $1,872 |
| Humana Medicare [1010] | Humana Gold Plus HMO [101001] | $1,910 |
| Humana Medicare [1010] | Humana Choice-PPO Medicare [101003] | $1,910 |
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