Upper GI endoscopy with biopsy at Providence Sacred Heart Medical Center and Children's Hospital. CPT 43239.
What Providence Sacred Heart Medical Center and Children's Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,057cash price (self-pay)
$2,939list price
$1,011–$16,508range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Medicare Managed Care Plan | $1,011 |
| Aetna | Medicare Managed Care - Hmo | $1,041 |
| Aetna | Medicare Managed Care - Ppo | $1,051 |
| Unitedhealthcare | Medicare Managed Care Plan | $1,061 |
| Blue Shield | Asuris Medicare Managed Care Plan | $1,092 |
| Community Health Plan | Medicare Managed Care Plan | $1,112 |
| Cigna | Medicare Managed Care Plan | $1,213 |
| Molina | Exchange | $1,708 |
| Blue Cross | Premera - Lifewise Health Plan Of Washington Affordable C | $1,819 |
| Blue Cross | Premera Heritage Signature Exchange | $1,821 |
| Coordinated Care | Exchange | $1,870 |
| Blue Cross | Premera All Commercial Plans | $2,353 |
| First Choice | All Commercial Plans | $2,436 |
| Kaiser | All Commercial Plans | $2,548 |
| Providence Health Plan | All Commercial Plans | $2,572 |
| Unitedhealthcare | Aco Tiered Other Commercial Plan | $2,726 |
| Unitedhealthcare | Navigate Exchange | $2,982 |
| Unitedhealthcare | All Commercial Plans | $3,353 |
| Cigna | All Commercial Plans | $8,066 |
| Aetna | All Commercial Plans | $16,508 |
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All common services at Providence Sacred Heart Medical Center and Children's Hospital