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Upper endoscopy (EGD) with biopsy in Missouri: what insurers pay

Posted commercial rates at 9 Missouri hospitals, each next to its own Medicare base rate.

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CPT 43239

HospitalMedian across insurers× MedicareInsurersFile date
Mercy Hospital South Saint Louis$1,3491.5×12026-06-10
Mercy Hospital St Louis Saint Louis$1,7151.9×12026-06-04
Mercy Hospital Washington Washington$1,7661.9×12026-06-10
Missouri Baptist Medical Center Town and Country$1,9252.1×52025-12-15
Barnes-Jewish West County Hospital Creve Coeur$1,9252.1×52025-12-15
Barnes-Jewish St Peters Hospital Saint Peters$1,9252.1×52025-12-15
Progress West Hospital O Fallon$1,9252.1×52025-12-15
Mercy Hospital Jefferson Festus$2,4232.7×12026-06-10
Barnes Jewish Hospital Saint Louis$3,0503.4×52025-12-15

Questions

How much do insurers pay for upper endoscopy (egd) with biopsy in Missouri?

9 Missouri hospitals post usable commercial rates for upper endoscopy (egd) with biopsy in their federal price-transparency files. For CPT 43239, hospital outpatient, the median across 9 hospitals is $1,925, 2.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.