Upper GI endoscopy with biopsy at Aspirus Divine Savior Hospital. CPT 43239.
What Aspirus Divine Savior Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,581cash price (self-pay)
$2,434list price
$62.19–$6,607range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Dean Health Plan | Dean Health Plan Medicare Advantage | $108 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Medicare Advantage Pl | $113 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Wisconsin Medicaid Pl | $114 |
| Dean Health Plan | Dean Health Plan Wisconsin Medicaid Plans | $114 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Mediblue Dual Hmo Snp | $116 |
| United Healthcare Of Wisconsin, Inc. | United Healthcare Medicare Adva | $116 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Mediblue Plus Hmo | $121 |
| Humana | Humana Medicare Ppo/Pos/Hmo Network Plans | $122 |
| Aspirus Health Plan, Inc. | Aspirus Health Plan Medicare Advantage | $123 |
| Quartz Health Solutions, Inc. | Quartz Medicare Advantage Plans | $125 |
| Tricare West | Tricare Plans | $138 |
| United Healthcare Of Wisconsin, Inc. | United Healthcare Wisconsin Med | $151 |
| Group Health Cooperative Of Eau Claire | Group Health Wisconsin Medica | $154 |
| Managed Health Services Insurance Corp. | Managed Health Wisconsin Med | $158 |
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wiscons | $249 |
| Cigna | Cigna Ppo And Open Access Plus Benefit Plans | $280 |
| Quartz Health Solutions, Inc. | Quartz Wisconsin Medicaid Plans | $302 |
| Quartz Health Solutions, Inc. | Quartz Fully Insured And Self Insured | $330 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Federal Employee Prog | $374 |
| Aspirus Health Plan, Inc. | Aspirus Health Plan Hmo/Pos | $435 |
| United Healthcare Of Wisconsin, Inc. | United Healthcare Hmo/Ppo/Pos/E | $440 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Blue Preferred Pos | $467 |
| The Alliance (F/K/A Employer Health Care Alliance Cooperative) | The A | $483 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Mediblue Access Ppo | $509 |
| Group Health Cooperative Of South Central Wisconsin | Group Health Coo | $539 |
| Aetna | Medicare Advantage Esa | $794 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Blue Traditional Netw | $1,100 |
| Healthpartners | Health Partners Commercial Ppo | $1,110 |
| Wps Health Plan | Wps Statewide Ppo/Pos/Epo Plans | $1,850 |
| Dean Health Plan | Dean Health Plan Commercial Hmo | $1,880 |
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