Upper GI endoscopy with biopsy at Ascension Seton Cedar Park Hospital. CPT 43239.
What Ascension Seton Cedar Park Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$141–$1,000range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Champva | 1135_champva Rest_tx 20180301 | $141 |
| Champva | 1136_champva Austin 20180301 | $144 |
| BCBS Chip/Chip Perinate | 4168_blue Cross Chip (Chi,Dcn) Outpatient 20 | $335 |
| BCBS Chip/Chip Perinate | 4168_blue Cross Chip/Star Kids (Chi,Dcn) Out | $335 |
| BCBS Star | 4219_chirp Blue Cross Star (Chi,Dcn) Outpatient 20241201 | $335 |
| BCBS Star Kids | 5003_blue Cross Star Kids (Chi,Dcn) Outpatient 202412 | $335 |
| Dell Chip/Chip Perinate | 4179_dell Chip/Star Kids (Chi,Dcn) Outpatien | $335 |
| Dell Star | 4230_chirp Dell Star (Chi,Dcn) Outpatient 20241201 | $335 |
| UHC Star | 4253_chirp UHC Star (Chi,Dcn) Outpatient 20241201 | $335 |
| UHC Star Kids | 4311_uhc Star Kids (Chi,Dcn) Outpatient 20241201 | $335 |
| UHC Star Plus | 4264_chirp UHC Star Plus (Chi,Dcn) Outpatient 20241201 | $335 |
| Wellpoint Chip/Chip Perinate | 4157_amerigroup Chip/Star Kids (Chi,Dcn | $335 |
| Wellpoint Chip/Chip Perinate | 4157_wellpoint/Amerigroup Chip (Chi,Dcn | $335 |
| Wellpoint Star | 4197_chirp Amerigroup Star (Chi,Dcn) Outpatient 20241 | $335 |
| Wellpoint Star | 4197_chirp Wellpoint/Amerigroup Star (Chi,Dcn) Outpat | $335 |
| Wellpoint Star Kids | 4970_wellpoint/Amerigroup Star Kids (Chi,Dcn) Ou | $335 |
| Wellpoint Star Plus | 4208_chirp Amerigroup Star Plus (Chi,Dcn) Outpat | $335 |
| Wellpoint Star Plus | 4208_chirp Wellpoint/Amerigroup Star Plus (Chi,D | $335 |
| BCBS Bav Exchange | 4127_blue Cross Blue Shield Bav Exchange 20250101 | $566 |
| Tricare | 1229_tricare Cah Outpatient 20170101 | $720 |
| BCBS Hpn | 4440_blue Cross Blue Shield Hpn 20250501 | $754 |
| BCBS Hpn | 4497_blue Cross Blue Shield Hpn (Dell, Williamson,Hays) 202 | $754 |
| BCBS HMO Essentials | 4095_blue Cross Blue Shield HMO Essentials 20250 | $810 |
| BCBS PPO | 4094_blue Cross Blue Shield PPO 20250101 | $920 |
| Humana HMO Cust | 206_humana HMO Custom 20140201 | $969 |
| Oscar Health Exchange | 4511_oscar Health Plan 20251001 | $1,000 |
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