Upper GI endoscopy with biopsy at SSM Health St. Clare Hospital - Baraboo. CPT 43239.
What SSM Health St. Clare Hospital - Baraboo publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$661–$4,484range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | Medicare Managed Care Plan | $661 |
| Dean Health Plan | Medicare Managed Care Plan | $881 |
| Centivo | Broad(WI3) Other Commercial Plan | $3,179 |
| Centivo | Broad(WI2) Other Commercial Plan | $3,249 |
| Centivo | Broad(WI1) Other Commercial Plan | $3,484 |
| BCBS | Blue Preferred/Blue Preferred Plus HMO/POS | $4,401 |
| BCBS | Blue Access PPO | $4,484 |
| BCBS | Blue Traditional Traditional | $4,484 |
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All common services at SSM Health St. Clare Hospital - Baraboo