Upper GI endoscopy with biopsy at St. Luke's Health - Brazosport Hospital. CPT 43239.

What St. Luke's Health - Brazosport Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

—cash price (self-pay)

—list price

$352–$2,831range insurers pay

Insurance plan	Negotiated rate
TCHP \| Medicaid\|All Other Plans	$352
UNITED \| Medicaid\|All Other Plans	$352
Wellpoint \| Medicaid\|All Other Plans	$352
BCBS \| Medicaid\|All Plans	$370
CHC \| Medicaid\|All Other Plans	$370
SUPERIOR \| Medicaid\|All Plans	$370
CHC \| Medicaid\|CHIP	$404
TCHP \| Medicaid\|STAR	$472
UNITED \| Medicaid\|STAR	$472
Wellpoint \| Medicaid\|STAR	$472
CHC \| Medicaid\|STAR	$497
BCBS-TX \| Commercial\|Blue Advantage HMO	$833
United \| Commercial\|All Other Plans	$868
BCBS \| Medicare\|All Plans	$939
CIGNA-HEALTHSPRING \| Medicare\|All Plans	$939
HUMANA \| Medicare\|All Plans	$939
KELSEY \| Medicare\|All Plans	$939
UNITED \| Medicare\|All Plans	$939
SELECTCARE \| Medicare\|All Plans	$967
WellcareTP \| Medicare\|All Plans	$967
Wellpoint \| Medicare\|All Plans	$967
Community Health Choice \| Commercial\|Exchange	$986
Devoted \| Medicare\|All Plans	$1,005
SCANHealth \| Medicare\|All Plans	$1,005
BCBS-TX \| Commercial\|Blue Options	$1,019
BCBS-TX \| Commercial\|Traditional	$1,048
UNITED \| Medicaid\|STARPLUS	$1,078
BCBS-TX \| Commercial\|PPO-POS	$1,132
BCBS-TX \| Commercial\|HMO	$1,265
BCBS-TX \| Commercial\|PPO	$1,344

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