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PricedCare

Upper endoscopy with biopsy in St. Louis, MO-IL costs $494 to $4,402. Here's every hospital's price.

10 hospitals in the St. Louis, MO-IL metro area publish a cash price for upper endoscopy with biopsy (CPT 43239). We read their files every month so you don't have to.

Across the St. Louis, MO-IL metro area, 10 hospitals list a cash price for upper endoscopy with biopsy (CPT 43239). The lowest is $494 at Ssm St Joseph Health Center, the median is $710 and the highest is $4,402 at Mercy Hospital Jefferson. The most expensive hospital lists 8.9 times the cheapest for the same code.

The St. Louis, MO-IL median of $710 is 49% below the national median of $1,402 across 335 US hospitals with a cash price for this code.

10 of these hospitals also publish the rates they negotiated with insurers, from $117 to $4,325. With insurance you pay a share of the negotiated rate, which is sometimes higher than the cash price; you may ask for the cash price instead.

The files behind these prices are dated between March 2026 and June 2026. 22 other hospitals in the metro area have no readable price for this code: some publish no file, some block automated reading, some leave the code out. They are listed below so you can call them.

$494
lowest cash price in St. Louis, MO-IL
Ssm St Joseph Health Center · 8 mi
$216 below the median
$710
median cash price
10 hospitals
8.9×
highest ÷ lowest
same procedure, same metro
10/36
hospitals with a cash price
22 don't · see who

Sorted by cash price

Hospital facility fee only
1
Ssm St Joseph Health Center

Saint Charles · 8 mi · File Apr 2026

$494
list $899 · lowest of 2 lines
2
Ssm St Clare Health Center

Fenton · 16 mi · File Apr 2026

$494
list $899 · lowest of 2 lines
3
Ssm Health St Mary's Hospital - St Louis

Saint Louis · 8 mi · File Apr 2026

$494
list $899 · lowest of 2 lines
4
Ssm Health Depaul Hospital St Louis

Bridgeton · 5 mi · File Apr 2026

$494
list $899 · lowest of 2 lines
5
Mercy Hospital Washington

Washington · 38 mi · File Jun 2026

$710
list $1,093 · lowest of 3 lines
6
Mercy Hospital Lincoln

Troy · 38 mi · File Jun 2026

$852
list $1,310 · lowest of 3 lines
7
OSF Saint Anthony's Health Center

Alton · 15 mi · File Mar 2026

$916
list $1,527
8
Ranken Jordan Pediatric Bridge Hospital

Maryland Heights · 4 mi · File Apr 2026

$1,122
list $1,403 · lowest of 2 lines
9
Ssm Health Saint Louis University Hospital

Saint Louis · 10 mi · File Apr 2026

$1,361
list $2,475
10
Mercy Hospital Jefferson

Crystal City · 38 mi · File Jun 2026

$4,402
list $6,773
11
Hshs Holy Family Hospital INC

Greenville · 52 mi · File Mar 2026

—
12
St Josephs Hospital

Breese · 45 mi · File Mar 2026

—
1

What's in the price

The hospital facility fee for CPT 43239. The doctor, anesthesia and lab work usually bill separately.

2

Cash vs. insured

Cash is what you pay without insurance. With insurance you pay a share of the negotiated rate, which can be higher than cash. You may ask for the cash price.

3

What to say on the phone

"I'd like the self-pay price for CPT 43239, in writing, and whether it covers facility, physician and anesthesia."

About upper endoscopy with biopsy

CPT 43239 is an upper endoscopy (EGD) in which tissue samples are taken from the esophagus, stomach or duodenum. It is the usual code when the exam is done to check for celiac disease, H. pylori, Barrett's esophagus or unexplained inflammation, since all of those need a sample to confirm.

What the price covers

The facility fee: the endoscopy room, nursing, the scope, biopsy forceps, sedation monitoring and recovery. Separately billed: the gastroenterologist, the anesthesia provider and the pathologist. Celiac work-ups often take four to six samples, so ask whether pathology is billed per specimen.

Related codes

  • 43235: EGD, diagnostic, no biopsy
  • 43239: EGD with biopsy (this page)

Hospitals typically price 43239 slightly above 43235. If only one is listed, it is a fair guide for the other.

Why prices vary

The spread within a metro area is usually several times. It tracks the hospital's overall pricing level, not the difficulty of the exam. Community hospitals and hospital-owned outpatient centers sit at the low end; academic medical centers at the high end.

Questions to ask

  • What is the self-pay price for 43239 including pathology?
  • How many samples are planned, and is pathology billed per sample?
  • Who provides anesthesia, and what is their cash rate?

Hospitals in St. Louis, MO-IL without a price for this procedure

Listed so you know who to call. The reason is what we found on their website.

Questions people ask