Upper GI endoscopy with biopsy at Prosser Memorial Hospital. CPT 43239.
What Prosser Memorial Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2025.
Outpatient / ER
$571cash price (self-pay)
$1,039list price
$77.96–$883range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Community Health Plan of Washington | All Medicaid and Exchange Plans | $77.96 |
| Coordinated Care | All Medicaid Plans | $77.96 |
| Kaiser Permanente | All Medicaid Plans | $77.96 |
| United Healthcare | All Medicaid Plans | $77.96 |
| Molina | All Medicaid Plans | $81.86 |
| Amerigroup | All Medicaid Plans | $82.64 |
| Community Health Plan of Washington | All Medicare Plans | $153 |
| Health Alliance Northwest | All Medicare Plans | $153 |
| Humana | All Commercial Plans | $153 |
| Humana | All Medicare Plans | $153 |
| Kaiser Permanente | All Medicare Plans | $153 |
| Molina | All Medicare & Marketplace Plans | $153 |
| United Healthcare | All Medicare Plans | $153 |
| Wellcare | All Medicare Plans | $153 |
| Cigna | All Commercial Plans | $168 |
| Aetna | All Medicare Plans | $181 |
| Premera | All Commercial Plans | $183 |
| Aetna | All Commercial Plans | $188 |
| Asuris | PPO, POS Commercial Plans | $203 |
| Asuris | All Other Commercial Plans | $203 |
| Health Management Adminstrators | PPO, POS Commercial Plans | $203 |
| Health Management Adminstrators | All Other Commercial Plans | $203 |
| Regence | PPO, POS & RegenceCare Commercial Plans | $203 |
| Regence | All Other Commercial Plans | $203 |
| Ambetter | All Commercial Plans | $276 |
| Kaiser Permanente | All Commercial Plans | $361 |
| MultiPlan | All Commercial Plans | $883 |
Inpatient
$571cash price (self-pay)
$1,039list price
$77.96–$883range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Community Health Plan of Washington | All Medicaid and Exchange Plans | $77.96 |
| Coordinated Care | All Medicaid Plans | $77.96 |
| Kaiser Permanente | All Medicaid Plans | $77.96 |
| United Healthcare | All Medicaid Plans | $77.96 |
| Molina | All Medicaid Plans | $81.86 |
| Amerigroup | All Medicaid Plans | $82.64 |
| Community Health Plan of Washington | All Medicare Plans | $153 |
| Health Alliance Northwest | All Medicare Plans | $153 |
| Humana | All Commercial Plans | $153 |
| Humana | All Medicare Plans | $153 |
| Kaiser Permanente | All Medicare Plans | $153 |
| Molina | All Medicare & Marketplace Plans | $153 |
| United Healthcare | All Medicare Plans | $153 |
| Wellcare | All Medicare Plans | $153 |
| Cigna | All Commercial Plans | $168 |
| Aetna | All Medicare Plans | $181 |
| Premera | All Commercial Plans | $183 |
| Aetna | All Commercial Plans | $188 |
| Asuris | PPO, POS Commercial Plans | $203 |
| Asuris | All Other Commercial Plans | $203 |
| Health Management Adminstrators | PPO, POS Commercial Plans | $203 |
| Health Management Adminstrators | All Other Commercial Plans | $203 |
| Regence | PPO, POS & RegenceCare Commercial Plans | $203 |
| Regence | All Other Commercial Plans | $203 |
| Ambetter | All Commercial Plans | $276 |
| Kaiser Permanente | All Commercial Plans | $361 |
| MultiPlan | All Commercial Plans | $883 |
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