Upper GI endoscopy with biopsy at Covenant Hospital Levelland. CPT 43239.
What Covenant Hospital Levelland publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$955cash price (self-pay)
$2,273list price
$884–$4,837range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Bcbs | Vapc3 Government | $884 |
| Aetna | Medicare Managed Care Plan | $911 |
| Superior | Wellcare Medicare Managed Care Plan | $957 |
| Unitedhealthcare | Medicare Managed Care Plan | $961 |
| Phcs | All Commercial Plans | $2,150 |
| Bcbs | Ers Hmo | $2,814 |
| Bcbs | Ppo | $3,018 |
| Bcbs | Hmo | $3,112 |
| Baylor Scott And White | Individual Bsw Premier Exchange | $3,168 |
| Baylor Scott And White | Group Bsw Premier/Covenant Preferred All Comm | $3,833 |
| Baylor Scott And White | Group Bsw Plus All Commercial Plans | $3,970 |
| Bcbs | Traditional | $4,338 |
| Aetna | All Commercial Plans | $4,837 |
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