Upper GI endoscopy with biopsy at Northwest Texas Healthcare System. CPT 43239.
What Northwest Texas Healthcare System publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
—cash price (self-pay)
$6,237list price
$370–$4,990range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | Medicaid | $370 |
| Superior | Medicaid | $370 |
| First_care_chip | Medicaid | $388 |
| Oklahoma | Medicaid | $669 |
| Blue_cross_blue_shield_of_tx | Advantage | $880 |
| Wellpoint_starkids | Medicaid | $969 |
| Superior_starkids | Medicaid | $1,017 |
| Amerigroup | Medicaid | $1,068 |
| Superior_star | Medicaid | $1,120 |
| Blue_cross_blue_shield_of_tx | HMO | $1,124 |
| Scott_and_white_healthplan | Managed_care | $1,164 |
| First_care_star | Medicaid | $1,174 |
| Blue_cross_blue_shield_of_tx | PPO | $1,179 |
| Aetna | Managed_care | $1,247 |
| Wellpoint_ Amgrp_star_plus | Medicaid | $1,258 |
| Superior_star_plus | Medicaid | $1,321 |
| Blue_cross_blue_shield_of_tx | Managed_care | $1,368 |
| First_care_star_plus | Medicaid | $1,384 |
| Cigna | Managed_care | $2,911 |
| United_healthcare | Managed_care | $3,477 |
| Multiplan | Managed_care | $4,990 |
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