Upper GI endoscopy with biopsy at Ascension Sacred Heart Rehabilitation Hospital (Sacred Heart Rehabilitation Institute, Inc.). CPT 43239.
What Ascension Sacred Heart Rehabilitation Hospital (Sacred Heart Rehabilitation Institute, Inc.) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$2,319cash price (self-pay)
$4,375list price
$218–$1,485range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Network Health Plan | 1136_network Health Plan 20221001 | $218 |
| Alliance | 1066_alliance 20220101 | $1,396 |
| Humana HMO POS | 1127_humana 20221001 | $1,485 |
| Humana PPO | 1133_humana PPO 20221001 | $1,485 |
| Humana Preferred | 1134_humana Preferred 20221001 | $1,485 |
| UHC Non Options PPO | 1130_united Health Care Nonoptions 20221001 | $1,485 |
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