Upper GI endoscopy with biopsy at Providence St Peter Hospital. CPT 43239.
What Providence St Peter Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,631cash price (self-pay)
$3,137list price
$887–$6,260range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Medicare Managed Care Plan | $1,043 |
| Aetna | Gatekeeper Medicare Managed Care - Hmo | $1,074 |
| Aetna | Non-Gatekeeper Medicare Managed Care - Ppo | $1,085 |
| Unitedhealthcare | Medicare Managed Care Plan | $1,116 |
| Blue Shield | Regence Medicare Managed Care Plan | $1,127 |
| Humana | Medicare Managed Care Plan | $1,147 |
| Community Health Plan | Medicare Managed Care Plan | $1,669 |
| Molina | Exchange | $1,763 |
| Blue Cross | Premera Lifewise Exchange | $1,878 |
| Unitedhealthcare | Navigate Other Commercial Plan | $1,910 |
| Coordinated Care | Ambetter Exchange | $1,930 |
| Unitedhealthcare | Aco Tiered Other Commercial Plan | $2,371 |
| Kaiser | All Commercial Plans | $3,319 |
| Providence Health Plan | Signature/Choice Network Other Commercial Pla | $3,406 |
| First Choice | All Commercial Plans | $3,694 |
| Unitedhealthcare | All Commercial Plans | $4,075 |
| Cigna | All Commercial Plans | $5,180 |
| Aetna | All Commercial Plans | $6,260 |
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