Upper GI endoscopy with biopsy at HSHS St. Clare Memorial Hospital. CPT 43239.
What HSHS St. Clare Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 24, 2026.
Outpatient / ER
$1,148cash price (self-pay)
$1,739list price
$133–$2,388range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Aetna Medicare | $133 |
| Anthem | Anthem Medicare Advantage HMO | $133 |
| Humana | Humana Medicare Advantage | $133 |
| Molina Healthcare | Molina Medicare | $133 |
| Security Health Plan | Medicare Advantage Security Health Plan Of Wi | $135 |
| Naphcare | All Commerical Naphcare | $300 |
| Hshs Employees | Hshs Employees | $845 |
| Molina Healthcare Of Wi | All Commerical Molina Marketplace | $870 |
| P360 Small Group | Prevea 360 Small Group Commercial Plan | $1,043 |
| Prevea Health Network | Prevea Employees | $1,043 |
| Prevea Health Network | Prevea360 | $1,043 |
| Prevea Health Network | Prevea360 - Network | $1,043 |
| Cigna | All Commercial Cigna | $1,087 |
| Security Health Plan | All Commercial Security Health Plan Broad Netwo | $1,110 |
| Anthem | Anthem POS/HMO | $1,183 |
| Anthem | Anthem PPO | $1,183 |
| Triology | All Commercial Triology | $1,374 |
| Arise Health Plan | All Commercial Arise Health Plan | $1,391 |
| Health Care Alliance | The Alliance | $1,461 |
| Choicecare | All Commercial Choice Care | $1,478 |
| Humana | All Commercial Humana Hpn Choicecare | $1,478 |
| Humana | Humana Choice Care PPO | $1,478 |
| Humana | Humana Natiional POS HMO | $1,478 |
| Health Eos | All Commercial Health Eos | $1,548 |
| Multiplan/Phcs | All Commercial Multiplan | $1,548 |
| Cofinity | Cofinity | $1,565 |
| Interplan | All Commercial Interplan Health Group | $1,565 |
| Network Health Plan | All Commerical Network Health Plan | $1,565 |
| Anthem | Antehm Medicaid | $1,566 |
| Community Care Family Care | Community Care Family Care Medicaid Manag | $1,566 |
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