Upper GI endoscopy with biopsy at Ascension St. Francis Hospital. CPT 43239.
What Ascension St. Francis Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$910–$1,439range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare Replacement | 1205_medicare Replacement Outpatient 20250101 | $910 |
| Veterans Administration | 1208_veteran Administration Outpatient 20250 | $910 |
| Smart Health | 1206_smarthealth Outpatient 20250101 | $1,275 |
| Wps | 1272_wisconsin Physician Services PPO 20250701 | $1,439 |
Inpatient
—cash price (self-pay)
—list price
$910–$1,275range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare Replacement | 1321_medicare Replacement Inpatient 20251001 | $910 |
| Veterans Administration | 1323_veteran Administration Inpatient 202510 | $910 |
| Smart Health | 1317_smarthealth Inpatient 20251001 | $1,275 |
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