Upper GI endoscopy with biopsy at Covenant Children's Hospital. CPT 43239.
What Covenant Children's Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,040cash price (self-pay)
$2,477list price
$880–$7,034range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Scott And White | Individual Bsw Premier Exchange | $880 |
| Scott And White | Group Bsw Premier/Covenant Preferred Other Commercia | $1,064 |
| Scott And White | Group Bsw Plus All Commercial Plans | $1,537 |
| Bcbs | Blue Essentials Hmo | $1,674 |
| Bcbs | Ers Blue Essentials For Healthselect Members Hmo | $1,674 |
| Bcbs | Par Traditional | $1,674 |
| Bcbs | Ppo | $1,981 |
| Phcs | All Commercial Plans | $2,150 |
| Covenant Preferred | All Commercial Plans | $3,218 |
| Aetna | New Business Tier 1 Other Commercial Plan | $4,524 |
| Aetna | Preferred Other Commercial Plan | $5,563 |
| Aetna | All Commercial Plans | $6,149 |
| Capstar | All Commercial Plans | $7,034 |
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