Upper GI endoscopy with biopsy at Providence St Luke's Rehabilitation Medical Center. CPT 43239.
What Providence St Luke's Rehabilitation Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$1,011–$2,253range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | Premera All Commercial Plans | $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 | Regence Medicare Managed Care Plan | $1,092 |
| Community Health Plan | Medicare Managed Care Plan | $1,112 |
| Blue Cross | Premera - Lifewise Primary Other Commercial Plan | $1,819 |
| Aetna | All Commercial Plans | $2,253 |
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All common services at Providence St Luke's Rehabilitation Medical Center