Upper GI endoscopy with biopsy at Baylor Scott & White Medical Center - Grapevine. CPT 43239.
What Baylor Scott & White Medical Center - Grapevine publishes for this service, straight from its standard-charges file, last updated June 29, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$335–$4,779range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Superior Health Plan | Medicaid | $335 |
| Aetna | Medicaid | $342 |
| United Healthcare | Medicaid/CHIP | $358 |
| Baylor Scott & White Health Plan | Medicare Advantage | $867 |
| CORVEL | Worker's Compensation | $885 |
| Aetna | Medicare Advantage | $913 |
| Humana | Medicare | $913 |
| TriWest | Community Care Network | $913 |
| American Health Plan | Medicare Advantage | $958 |
| Blue Cross Blue Shield | Medicare Advantage | $958 |
| HealthSpring | Medicare Advantage | $958 |
| ProCare Advantage | Medicare Advantage | $958 |
| Superior Health Plan | Medicare | $958 |
| United Healthcare | Medicare Advantage | $1,022 |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $1,095 |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $1,145 |
| Prime Health Services | Worker's Compensation | $1,151 |
| Blue Cross Blue Shield | Blue Advantage | $1,328 |
| Sedgwick | Preferred Network | $1,364 |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $1,506 |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My Blue | $1,878 |
| Superior Ambetter | Ambetter Exchange | $1,962 |
| Mark Cuban | Commercial | $2,246 |
| Blue Cross Blue Shield | City of Dallas | $2,523 |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $2,664 |
| Blue Cross Blue Shield | BlueChoice (PPO) | $2,806 |
| United Healthcare | Charter | $2,850 |
| United Healthcare | Nexus | $2,850 |
| United Healthcare | Commercial Broad | $3,167 |
| HealthSmart | Accel Network | $3,485 |
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All common services at Baylor Scott & White Medical Center - Grapevine