Upper GI endoscopy with biopsy at Medical Center Of Southeast Texas. CPT 43239.
What Medical Center Of Southeast Texas publishes for this service, straight from its standard-charges file, last updated September 2, 2026.
Outpatient / ER
$897cash price (self-pay)
—list price
$335–$33,000range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Texas Childrens Health Plan | Texas Childrens Health Plan | $335 |
| Molina Medicaid | Molina Medicaid | $352 |
| Texas Childrens Health Plan STAR KIDS | Texas Childrens Health Plan ST | $352 |
| Superior Health Plan Medicaid | Superior Health Plan Medicaid | $490 |
| Wellpoint Amerigroup Star Kids/CHIPS | Wellpoint Amerigroup Star Kids/ | $553 |
| Texas Childrens Health Plan Star UHRIP | Texas Childrens Health Plan S | $610 |
| Wellpoint Amerigroup STAR UHRIP | Wellpoint Amerigroup STAR UHRIP | $610 |
| Community Health Choice STAR UHRIP | Community Health Choice STAR UHRI | $640 |
| Molina Healthcare STAR UHRIP | Molina Healthcare STAR UHRIP | $640 |
| United Healthcare STAR UHRIP | United Healthcare STAR UHRIP | $640 |
| Texas Childrens Health Plan STAR PLUS UHRIP | Texas Childrens Health P | $864 |
| Wellpoint Amerigroup STAR PLUS UHRIP | Wellpoint Amerigroup STAR PLUS | $864 |
| Humana Medicare Advantage | Humana Medicare Advantage | $865 |
| Healthspring Medicare Advantage | Healthspring Medicare Advantage | $897 |
| finthrive | Medicare | $897 |
| Provider Partners Health Plan | Provider Partners Health Plan | $897 |
| SelectCare | SelectCare | $897 |
| Superior HealthPlan Medicare Advantage | Superior HealthPlan Medicare | $897 |
| TIHP (Texas Independence Health Plan) | TIHP (Texas Independence Healt | $897 |
| United Healthcare Medicare Advantage | United Healthcare Medicare Adva | $897 |
| Wellpoint Amerigroup Med Advantage | Wellpoint Amerigroup Med Advantag | $897 |
| Molina Healthcare STAR PLUS UHRIP | Molina Healthcare STAR PLUS UHRIP | $908 |
| United Healthcare STAR PLUS UHRIP | United Healthcare STAR PLUS UHRIP | $908 |
| Tricare | Tricare | $911 |
| Texas Medical Management Partners | Texas Medical Management Partners | $911 |
| Triwest VA | Triwest VA | $911 |
| Molina Medicare Advantage | Molina Medicare Advantage | $914 |
| WellCare | WellCare | $941 |
| League Medical Concepts | League Medical Concepts | $986 |
| WellPath | WellPath | $1,002 |
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