Upper GI endoscopy with biopsy at Ascension Seton Medical Center Austin (Ascension Seton). CPT 43239.
What Ascension Seton Medical Center Austin (Ascension Seton) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$141–$1,635range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Champva | 1135_champva Rest_tx 20180301 | $141 |
| Champva | 1136_champva Austin 20180301 | $144 |
| BCBS Chip/Chip Perinate | 4166_blue Cross Chip (Aus) Outpatient 202412 | $335 |
| BCBS Chip/Chip Perinate | 4166_blue Cross Chip/Star Kids (Aus) Outpati | $335 |
| 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 | 4217_chirp Blue Cross Star (Aus) Outpatient 20241201 | $335 |
| BCBS Star | 4219_chirp Blue Cross Star (Chi,Dcn) Outpatient 20241201 | $335 |
| BCBS Star Kids | 4999_blue Cross Star Kids (Aus) Outpatient 20241201 | $335 |
| BCBS Star Kids | 5003_blue Cross Star Kids (Chi,Dcn) Outpatient 202412 | $335 |
| Dell Chip/Chip Perinate | 4177_dell Chip/Star Kids (Aus) Outpatient 20 | $335 |
| Dell Chip/Chip Perinate | 4179_dell Chip/Star Kids (Chi,Dcn) Outpatien | $335 |
| Dell Star | 4228_chirp Dell Star (Aus) Outpatient 20241201 | $335 |
| BCBS Bav Exchange | 4127_blue Cross Blue Shield Bav Exchange 20250101 | $566 |
| 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 |
| Aarp Mc Wellmed | 4748_medicare Advantage Aarp Wellmed Outpatient (Aus | $890 |
| Sendero Chap | 4932_sendero Chap Outpatient 20250811 | $900 |
| Addr Cancer Together | 4747_addr Cancer Together Outpatient 20250811 | $909 |
| Aetna Mcr Replacement | 4749_medicare Advantage Aetna Outpatient 20250 | $909 |
| Ascension Complete Medicare Replacement | 4764_medicare Advantage Asce | $909 |
| Covid Hrsa | 4765_covid Hrsa Unin Q80 Outpatient 20250811 | $909 |
| Devoted Health Mcr Replacement | 4918_medicare Advantage Devoted Healt | $909 |
| Humana Mcr Replacement | 4921_medicare Advantage Humana Outpatient (Au | $909 |
| Medicare Replacement | 4922_medicare Advantage Outpatient 100% 2025081 | $909 |
| Research Study | 4098_research Study Op 20250101 | $909 |
| Smarthealth | 4957_smarthealth Op 20250811 | $909 |
| Superior Allwell | 4419_medicare Advantage Superior Allwell Outpatient | $909 |
| Uhcpcip | 4126_united Healthcare Pcip (Aus) Op 20250101 | $909 |
Inpatient
—cash price (self-pay)
—list price
$890–$1,635range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aarp Mc Wellmed | 4656_medicare Advantage Aarp Wellmed Inpatient (Aus, | $890 |
| Sendero Chap | 4651_sendero Chap Inpatient 20251001 | $900 |
| Addr Cancer Together | 4681_addr Cancer Together Inpatient 20251001 | $909 |
| Aetna Mcr Replacement | 4659_medicare Advantage Aetna Inpatient 202510 | $909 |
| Ascension Complete Medicare Replacement | 4682_medicare Advantage Asce | $909 |
| Covid Hrsa | 4693_covid Hrsa Unin Q80 Inpatient 20251001 | $909 |
| Cshcn Cidc | 4694_cshcn Cidc Ip (Adult) 20251001 | $909 |
| Devoted Health Mcr Replacement | 4684_medicare Advantage Devoted Healt | $909 |
| Humana Mcr Replacement | 4661_medicare Advantage Humana Inpatient (Aus | $909 |
| Medicare Oon | 4666_medicare Advantage Inpatient Oon 20251001 | $909 |
| Medicare Replacement | 4665_medicare Advantage Inpatient 100% 20251001 | $909 |
| Research Study | 4650_research Study Ip 20251001 | $909 |
| Smarthealth | 4680_smarthealth Ip 20251001 | $909 |
| Superior Allwell | 4686_medicare Advantage Superior Allwell Inpatient | $909 |
| Tricare | 4696_tricare Inpatient 20251001 | $909 |
| Uhcpcip | 4678_united Healthcare Pcip (Aus) Ip 20251001 | $909 |
| Wellcare Med Advantage | 4691_medicare Advantage Wellcare Inpatient 20 | $909 |
| Welmed Medicare | 4669_medicare Advantage Welmed Inpatient (Aus,Nw,Sw, | $909 |
| UHC Mcr Replacement | 4687_medicare Advantage United Healthcare Inpati | $927 |
| Connected Senior Care | 4660_medicare Advantage Connected Senior Care | $936 |
| Pphp Mcr Advantage | 4668_medicare Advantage Pphp Inpatient 20251001 | $954 |
| TX Independence Hp | 4671_tx Independence Hp Ip 20251001 | $954 |
| Occunet | 4674_occunet Ip 20251001 | $1,272 |
| Sendero Idealcare | 4675_sendero Idealcare Ip 20251001 | $1,590 |
| Superior Ambetter | 4652_superior Ambetter Inpatient 20251001 | $1,635 |
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All common services at Ascension Seton Medical Center Austin (Ascension Seton)