Upper GI endoscopy with biopsy at Providence Holy Family Hospital. CPT 43239.
What Providence Holy Family Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,610cash price (self-pay)
$2,300list price
$1,011–$6,462range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Medicare Managed Care Plan | $1,011 |
| Blue Cross | Premera Medicare Managed Care Plan | $1,051 |
| Unitedhealthcare | Medicare Managed Care Plan | $1,081 |
| Blue Shield | Asuris Medicare Managed Care Plan | $1,092 |
| Amerigroup | Medicare Managed Care Plan | $1,112 |
| Community Health Plan | Cascade Care Exchange | $1,617 |
| Blue Cross | Premera - Lifewise Health Plan Of Washington Affordable C | $1,819 |
| Coordinated Care | Ambetter Exchange | $1,870 |
| Unitedhealthcare | Aco Tiered Other Commercial Plan | $1,888 |
| Blue Cross | Premera Heritage Exchange | $2,012 |
| First Choice | All Commercial Plans | $2,405 |
| Blue Cross | Premera All Commercial Plans | $2,574 |
| Providence Health Plan | Signature/Choice/Extend Ppo Networks Other Co | $2,653 |
| Kaiser | All Commercial Plans | $3,111 |
| Blue Shield | Asuris All Commercial Plans | $3,394 |
| Unitedhealthcare | Navigate Exchange | $3,594 |
| Unitedhealthcare | All Commercial Plans | $3,705 |
| Cigna | All Commercial Plans | $4,435 |
| Aetna | All Commercial Plans | $6,462 |
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