Upper GI endoscopy with biopsy at St. Clare Hospital. CPT 43239.
What St. Clare Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$906–$5,920range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Commercial|HMO | $906 |
| Kaiser | Commercial|PPO | $997 |
| Kaiser | Medicare|All Plans | $1,063 |
| SoundPath | Medicare|All Plans | $1,063 |
| Optum | Medicare|All Plans | $1,073 |
| Aetna | Medicare|All Plans | $1,095 |
| BCBS - Premera | Medicare|All Plans | $1,095 |
| BCBS - Regence | Medicare|All Plans | $1,095 |
| Humana | Medicare|All Plans | $1,137 |
| Molina | Medicare|All Plans | $1,148 |
| United | Medicare|All Plans | $1,148 |
| Amerigroup | Medicare|All Plans | $1,158 |
| CHPW | Medicare|All Plans | $1,222 |
| Seattle Medical Group | Medicare|All Plans | $1,222 |
| Sound Family Medicine | Commercial|All Plans | $2,019 |
| Molina | Commercial|Marketplace Exchange | $2,040 |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $2,098 |
| Coordinated Care | Commercial|Ambetter Exchange | $2,104 |
| Uniform Medical Plan | Commercial|All Plans | $2,240 |
| BCBS - Regence | Commercial|All Plans | $2,569 |
| BCBS - Premera | Commercial|All Other Plans | $3,033 |
| First Choice | Commercial|All Plans | $3,210 |
| United | Commercial|Navigate | $3,353 |
| United | Commercial|All Other Plans | $3,530 |
| United | Commercial|Cascade Care | $3,530 |
| Aetna | Commercial|AWH | $3,974 |
| Aetna | Commercial|All Other Plans | $4,676 |
| Cigna | Commercial|All Plans | $5,920 |
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