Upper GI endoscopy with biopsy at Grant County Public Hospital District 1 dba Samaritan. CPT 43239.
What Grant County Public Hospital District 1 dba Samaritan publishes for this service, straight from its standard-charges file, last updated January 4, 2026.
Outpatient / ER
$873cash price (self-pay)
$873list price
$80.80–$580range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup Medicaid HMO [1460] | Hb Cc Wsa Amerigroup Mgd Medicaid | $80.80 |
| Amerigroup Other Govt [1461] | Hb Cc Wsa Amerigroup Mgd Medicaid | $80.80 |
| Community Hlth Plan Chpw Medicaid HMO [1229] | Hb Cc Wsa Chpw Mgd Mcd | $80.80 |
| Coordinated Care Medicaid HMO [1462] | Hb Cc Wsa Coordinated Care Mgd | $80.80 |
| Medicaid Wa Alt [1622] | Hb Cc Wsa Medicaid (Apr) | $80.80 |
| Medicaid Washington [203] | Hb Cc Wsa Medicaid (Apr) | $80.80 |
| Molina Medicaid HMO [1128] | Hb Cc Wsa Molina Ho Mgd Mcd | $80.80 |
| Medicare [106] | Medicare Part A And B [1060002] | $143 |
| Ameribens Solutions [508] | Hb Cc Wsa Premera First Network & Fed Emp | $183 |
| BCBS Mt [1266] | Hb Cc Wsa Premera First Network & Fed Emp | $183 |
| BCBS [1263] | Hb Cc Wsa Premera First Network & Fed Emp | $183 |
| Blue Cross Id [1265] | Hb Cc Wsa Premera First Network & Fed Emp | $183 |
| Inland Emp Teamstrs Tr [1305] | Hb Cc Wsa Premera First Network & Fed | $183 |
| Inlandboatmens Union Trust [2687] | Hb Cc Wsa Premera First Network & | $183 |
| Lifewise [1108] | Hb Cc Wsa Premera First Network & Fed Emp | $183 |
| Lineco [1931] | Hb Cc Wsa Premera First Network & Fed Emp | $183 |
| Nw Ironworkers [1645] | Hb Cc Wsa Premera First Network & Fed Emp | $183 |
| Nw Plumbing Pipefitters [1331] | Hb Cc Wsa Premera First Network & Fed | $183 |
| Nw Roofers Emp Hlt Sec Trst [1615] | Hb Cc Wsa Premera First Network & | $183 |
| Operating Engineers [1144] | Hb Cc Wsa Premera First Network & Fed Emp | $183 |
| Premera Medicare [1640] | Hb Cc Wsa Premera First Network & Fed Emp | $183 |
| Premera [1344] | Hb Cc Wsa Premera First Network & Fed Emp | $183 |
| Premera [1344] | Hb Cc Wsa Premera Acn Exchange | $183 |
| Puget Snd Elect Wrkrs [1348] | Hb Cc Wsa Premera First Network & Fed E | $183 |
| Asuris [1258] | Hb Cc Wsa Asuris Preferred | $489 |
| BCBS [1263] | Hb Cc Wsa Asuris Preferred | $489 |
| Healthcare Mgnt Admin [540] | Hb Cc Wsa Asuris Preferred | $489 |
| Aetna [511] | Hb Cc Wsa Aetna | $489 |
| Employee Bene Admin Mgmt [525] | Hb Cc Wsa Aetna | $489 |
| Geha [531] | Hb Cc Wsa Aetna | $489 |
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All common services at Grant County Public Hospital District 1 dba Samaritan