Upper GI endoscopy with biopsy at Bellin Memorial Hospital. CPT 43239.
What Bellin Memorial Hospital publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$1,361cash price (self-pay)
$3,177list price
$428–$5,023range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Chorus Community Health Plan | Managed Medicaid | $428 |
| Anthem | Managed Medicaid | $434 |
| COMMUNITY CARE | Managed Medicaid | $434 |
| ICARE | Managed Medicaid | $434 |
| Managed Health Service | Managed Medicaid | $434 |
| My Choice | SSI Managed Medicaid | $434 |
| Molina Health | Managed Medicaid | $447 |
| Healthpartners | Select | $454 |
| My Choice | BadgerChoice Plus Managed Medicaid | $455 |
| AETNA | Medicare | $881 |
| ANTHEM | Managed Medicare | $881 |
| COMMUNITY CARE | Medicare Advantage | $881 |
| HUMANA | Medicare Advantage | $881 |
| ICARE | Managed Medicare | $881 |
| Managed Health Service | Medicare Advantage | $881 |
| My Choice | Medicare Advantage | $881 |
| Network Health | Medicare Advantage | $881 |
| Security Health Plan | Medicare Advantage | $881 |
| Healthpartners | Broad | $970 |
| Healthpartners | Focus | $1,218 |
| Chorus Community Health Plan | ALL PRODUCTS | $2,042 |
| Aspirus Arise | ALL PRODUCTS | $2,105 |
| Cigna Health and Life Insurance Company | ALL PRODUCTS | $2,217 |
| HPS/Paymedix | Medical Rental Network Tier 1 | $2,287 |
| Security Health Plan | All Products | $2,414 |
| Trilogy | MEDICAL RENTAL | $2,414 |
| HPS/PayMedix | Medical Rental Network Tier 2 | $2,478 |
| Evernorth | Behavioral Health | $2,541 |
| HEALTHSMART | Medical Rental Network | $2,541 |
| IHS(ClaimsBridge) | Medical Rental Network | $2,541 |
Inpatient
$1,361cash price (self-pay)
$3,177list price
$1,890–$3,073range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna Health and Life Insurance Company | ALL PRODUCTS | $2,243 |
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