Upper GI endoscopy with biopsy at Dell Children's Medical Center (Ascension Seton). CPT 43239.
What Dell Children's Medical Center (Ascension Seton) publishes for this service, straight from its standard-charges file, last updated June 17, 2024.
Outpatient / ER
—cash price (self-pay)
—list price
$141–$1,000range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Champva | 1136_champva Austin 20180301 | $144 |
| Champva | 1135_champva Rest_tx 20180301 | $237 |
| Tricare | 1229_tricare Cah Outpatient 20170101 | $497 |
| Tricare | 475_tricare Outpatient 20161001 | $497 |
| BCBS Bav Exchange | 2564_blue Cross Blue Shield Bav Exchange 20230101 | $528 |
| BCBS HMO Essentials | 2562_blue Cross Blue Shield HMO Essentials 20230 | $773 |
| BCBS PPO | 2560_blue Cross Blue Shield PPO 20230101 | $855 |
| Humana HMO Cust | 206_humana HMO Custom 20140201 | $969 |
| Oscar Health Exchange | 2497_oscar Health Plan 20230101 | $1,000 |
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All common services at Dell Children's Medical Center (Ascension Seton)