Upper GI endoscopy with biopsy at Froedtert Holy Family Memorial Hospital. CPT 43239.
What Froedtert Holy Family Memorial Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
—cash price (self-pay)
—list price
$892–$6,312range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Blue Cross Blue Shield | Medicare Advantage | $892 |
| Community Care Incorporated | Medicare Advantage | $892 |
| Health Partners | Medicare Advantage | $892 |
| Humana | Medicare Advantage | $892 |
| ICare | Medicare Advantage | $892 |
| Molina | Medicare Advantage | $892 |
| Network Health Plan | Medicare Advantage | $892 |
| Security Health Plan | Medicare Advantage | $892 |
| United Healthcare | Medicare Advantage | $892 |
| Allwell | Medicare Advantage | $910 |
| Molina | Marketplace Plans | $963 |
| Anthem Blue Cross Blue Shield (Healthlink) | HMO/PPO | $1,241 |
| Network Health Plan | ACA | $3,894 |
| United Healthcare | Manitowoc Schools | $4,209 |
| Network Health Plan | HMO | $4,326 |
| United Healthcare | Nexus | $4,475 |
| United Healthcare Choice/Navigate | APA | $5,261 |
| United Healthcare Options | PPO | $6,312 |
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All common services at Froedtert Holy Family Memorial Hospital