Upper GI endoscopy with biopsy at Medical City Lewisville Hospital. CPT 43239.
What Medical City Lewisville Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$330–$5,773range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Texas Health Network | Mcd | $330 |
| 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 |
| 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 |
| BCBS | BlueAdvantageHMO | $1,800 |
| BCBS | MyBlueHealth | $1,800 |
| Fidelis SecureCare | MGMCR | $1,995 |
| BCBS | BlueEssentials | $2,004 |
| BCBS | BlueEssentialsAccess | $2,004 |
| BCBS | Eposoa | $2,106 |
| United | SmallGroup | $2,112 |
| BCBS | PPO | $2,201 |
| Healthcare Highways | NarrowNetwork | $2,214 |
| United | NarrowNetworkIndivExchange | $2,329 |
| Evry Health | COMM | $2,356 |
| Cigna | LocalPlus | $2,467 |
| Cigna | NewBusiness | $2,469 |
| Curative Administrators | COMM | $2,613 |
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