Upper GI endoscopy with biopsy at Memorial Hermann Imaging Center (Upper Kirby). CPT 43239.
What Memorial Hermann Imaging Center (Upper Kirby) publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,541cash price (self-pay)
$4,817list price
$911–$1,731range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Managed Care Plan | $911 |
| Community Health | Medicare Managed Care Plan | $1,002 |
| Procare Advantage | Medicare Managed Care Plan | $1,048 |
| Community Health | Premier/Select Exchange | $1,367 |
| Aetna | Exchange | $1,412 |
| Community Health | Ultra Exchange | $1,458 |
| 90 Degrees | All Commercial Plans | $1,731 |
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All common services at Memorial Hermann Imaging Center (Upper Kirby)