Upper GI endoscopy with biopsy at Lourdes Counseling Center. CPT 43239.
What Lourdes Counseling Center publishes for this service, straight from its standard-charges file, last updated July 10, 2026.
Outpatient / ER
$2,014cash price (self-pay)
$5,034list price
$290–$4,583range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana Inc. | HMO | $290 |
| WELLPOINT WASHINGTON, INC. | Medicaid | $780 |
| Molina Healthcare of Washington | Indemnity | $948 |
| COORDINATED CARE OF WASHINGTON INC | Medicaid | $958 |
| Coordinated Care Of Washington Inc | HMO | $958 |
| Unitedhealthcare Of Washington Inc | PPO | $1,276 |
| Group Administrators, Ltd. | PPO | $1,303 |
| HealthComp North | PPO | $1,384 |
| KFHP of WA Options, Inc | HMO | $1,614 |
| KFHP of WA | HMO | $1,657 |
| Molina Healthcare of Washington | HMO | $1,706 |
| Molina Healthcare of Washington | Medicaid | $1,728 |
| United Healthcare Insurance Company | HMO | $2,326 |
| Unitedhealthcare Of Washington Inc | HMO | $2,326 |
| Community Health Plan Of Washington | PPO | $2,349 |
| Premera Blue Cross | PPO | $2,786 |
| WMI Mutual Insurance Company | Indemnity | $3,107 |
| United Healthcare Insurance Company | POS | $3,396 |
| Cigna Health and Life Insurance Company | POS | $3,710 |
| GreatWestHealthcare-CIGNA | POS | $3,710 |
| Asuris Northwest Health | PPO | $3,936 |
| Umr Nreca | PPO | $4,057 |
| Aetna | PPO | $4,125 |
| Aetna | POS | $4,445 |
| United Healthcare Insurance Company | EPO | $4,583 |
Inpatient
$1,595cash price (self-pay)
$3,987list price
$3,235–$3,235range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare Insurance Company | HMO | $3,235 |
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