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Upper GI endoscopy with biopsy at Medical City Fort Worth Hospital. CPT 43239.

What Medical City Fort Worth Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.

Outpatient / ER

—cash price (self-pay)
—list price
$335–$6,680range insurers pay
Insurance planNegotiated rate
Cook Childrens Health Plan | CHIP$335
Cook Childrens Health Plan | STAR$335
Parkland Community Health Plan | MCD$335
United | CHIP$335
United | STAR$335
Amerigroup | CHIP$352
Amerigroup | MGMCD$352
Cigna Healthspring | MGMCD$352
Healthspring Life | MCD$352
Molina | CHIP$372
Molina | MCDSTAR$372
Molina | STAR+PLUS$372
Molina | STARKIDS$372
Aetna Better Health | CHIP$402
Aetna Better Health | MCD$402
Humana | MGMCD$419
United | NarrowNetworkIndivExchange$1,605
Fidelis SecureCare | MGMCR$1,995
Healthcare Highways | NarrowNetwork$2,214
United | SmallGroup$2,228
BCBS | BlueAdvantageHMO$2,303
BCBS | MyBlueHealth$2,303
Evry Health | COMM$2,356
BCBS | BlueEssentials$2,428
BCBS | BlueEssentialsAccess$2,428
BCBS | Eposoa$2,554
Curative Administrators | COMM$2,613
BCBS | PPO$2,672
Cigna | LocalPlus$2,700
Cigna | NewBusiness$2,702
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All common services at Medical City Fort Worth Hospital