Upper GI endoscopy with biopsy at SSM Health Waupun Memorial Hospital. CPT 43239.
What SSM Health Waupun Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$1,484–$4,761range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| FABOH | All Commercial Plans | $1,484 |
| BCBS | Blue Preferred / Blue Preferred Plus HMO/POS | $2,654 |
| BCBS | Blue Access PPO | $3,335 |
| BCBS | Blue Traditional Traditional | $3,335 |
| Centivo | Broad(WI1) Other Commercial Plan | $3,579 |
| Centivo | Median(WI2) Other Commercial Plan | $3,579 |
| Centivo | Value(WI3) Other Commercial Plan | $3,579 |
| Network Health Plan | HMO/POS | $4,761 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.