Upper GI endoscopy with biopsy at Gundersen St. Josephs Hospital and Clinic. CPT 43239.
What Gundersen St. Josephs Hospital and Clinic publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$1,620cash price (self-pay)
$3,080list price
$453–$5,713range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Medicaid HMO | $453 |
| Quartz | All Products | $1,303 |
| Quartz | All Other Self Funded | $1,355 |
| Quartz | Self Funded | $1,448 |
| Quartz | Level Funded | $1,494 |
| Anthem | Medicare HMO/PPO | $1,571 |
| Dean Health Plan | Medicare Select | $1,571 |
| Humana | Medicare Advantage | $1,571 |
| Quartz | Medicare Advantage | $1,571 |
| UCARE | Dually Eligible | $1,571 |
| UHC | Medicare Advantage | $1,571 |
| UCARE | MSHO/Minnesota Special Needs | $1,602 |
| UCARE | Non-Dually Eligible | $1,602 |
| Quartz | Fully Insured | $1,679 |
| UHC | All Payer Appendix | $2,153 |
| Cigna | All Products | $2,375 |
| Alliance | Premier/All Products | $2,464 |
| Group Health of South Central | All Products | $2,464 |
| Trilogy | All Products | $2,464 |
| UCARE | Qualified Health Plan | $2,464 |
| Aspirus Arise Health | All Products | $2,556 |
| Anthem | Medicaid | $2,592 |
| Dean Health Plan | Medicaid_Badgercare | $2,592 |
| Group Health Eau Claire | Medicaid HMO | $2,592 |
| Group Health of South Central | Medicaid HMO | $2,592 |
| Iowa Total Care | Medicaid | $2,592 |
| Quartz | Medicaid_Badgercare | $2,592 |
| Allied National | Core Value Programs | $2,618 |
| Sana | All Products | $2,649 |
| Multiplan/Healtheos | Mpi_phcs_healtheos | $2,680 |
Inpatient
$1,620cash price (self-pay)
$3,080list price
$1,303–$2,926range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz | All Other Self Funded | $1,814 |
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All common services at Gundersen St. Josephs Hospital and Clinic