Upper GI endoscopy with biopsy at Lake Granbury Medical Center. CPT 43239.
What Lake Granbury Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$4,259cash price (self-pay)
$23,659list price
$342–$22,476range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| NODE Aetna CHIP Medicaid TX | NODE Aetna CHIP Medicaid TX | $352 |
| NODE Cook Childrens Health Plan CHIP Medicaid TX | NODE Cook Childrens | $352 |
| Medicaid | NODE TX Medicaid | $352 |
| NON PAR TX Medicaid | NODE TX Medicaid NON PAR | $352 |
| NODE UHC CHIP/STAR KIDS Medicaid TX | NODE UHC CHIP Medicaid TX | $352 |
| NODE UHC STAR KIDS Medicaid TX | NODE UHC STAR KIDS Medicaid TX | $352 |
| NODE UHC STAR Medicaid TX | NODE UHC STAR Medicaid TX | $352 |
| Healthspring | NODE Cigna Healthspring Medicaid TX | $370 |
| NODE Molina CHIP Medicaid TX | NODE Molina CHIP Medicaid TX | $370 |
| NODE Molina Medicaid TX | NODE Molina STAR Medicaid TX | $370 |
| Amerigroup | NODE Wellpoint CHIP Medicaid TX | $370 |
| NODE Superior CHIP/STAR KIDS/ STAR HEALTH Medicaid TX | NODE Superior | $405 |
| NODE Superior STAR KIDS Medicaid TX | NODE Superior STAR KIDS Medicaid | $405 |
| Superior | NODE Superior STAR Medicaid TX | $405 |
| NODE Superior STAR PLUS Medicaid TX | NODE Superior STAR PLUS Medicaid | $405 |
| NODE Aetna STAR KIDS Medicaid TX | NODE Aetna STAR KIDS Medicaid TX | $479 |
| NODE Cook Childrens Health Plan STAR KIDS Medicaid TX | NODE Cook Chil | $479 |
| NODE Tricare | NODE Tricare | $866 |
| NODE ChampVA | NODE ChampVA | $911 |
| United Healthcare | NODE UHC STAR PLUS Medicaid TX | $1,092 |
| NODE Molina STAR PLUS Medicaid TX | NODE Molina STAR PLUS Medicaid TX | $1,147 |
| Aetna | NODE Aetna STAR Medicaid TX | $1,269 |
| NODE Cook Childrens Health Plan Medicaid TX | NODE Cook Childrens Heal | $1,269 |
| BCBS TX | BCBS TX Blue ADV | $3,254 |
| BCBS TX | BCBS TX HMO | $3,426 |
| BCBS TX | BCBS TX PPO Trad | $3,426 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $5,962 |
| Cigna | Cigna New Business | $6,009 |
| Cigna | Cigna ALL | $9,322 |
| Aetna | Aetna Whole Health | $10,765 |
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