Upper GI endoscopy with biopsy at St. Luke's Health - Lakeside Hospital. CPT 43239.
What St. Luke's Health - Lakeside Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$335–$7,221range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| TCHP | Medicaid|Lakeside | $335 |
| TCHP | Medicaid|STARKIDS | $335 |
| UHC | Medicaid|CHIP | $342 |
| UHC | Medicaid|STARKIDS | $342 |
| UNITED | Medicaid|All Other Plans | $342 |
| BCBS | Medicaid|All Plans | $352 |
| CHC | Medicaid|All Other Plans | $385 |
| TCHP | Medicaid|STAR | $449 |
| CHC | Medicaid|STAR | $516 |
| BCBS-TX | Commercial|Exchange | $589 |
| Renaissance | Commercial|All Plans | $676 |
| BCBS - TX | Commercial|MyBlue Health Exchange | $754 |
| UHC | Medicaid|STARPLUS | $1,045 |
| Aetna-Kelsey Care | Commercial|HMO | $1,076 |
| BCBS-TX | Commercial|Blue Premier | $1,140 |
| KelseyCare | Commercial|Exchange | $1,268 |
| Aetna | Commercial|HMO | $1,298 |
| BCBS-TX | Commercial|HMO | $1,352 |
| Bright Health | Commercial|All Plans | $1,353 |
| KelseyCare | Commercial|All Other Plans | $1,362 |
| Ambetter | Commercial|All Plans | $1,409 |
| Community Health Choice | Commercial|All Other Plans | $1,409 |
| Community Health Choice | Commercial|Exchange | $1,409 |
| Harris Health | Commercial|ERS | $1,409 |
| Wellpoint | Commercial|Exchange | $1,409 |
| Aetna | Commercial|Exchange | $1,446 |
| BCBS-TX | Commercial|PPO | $1,509 |
| Independent Med System | Commercial|All Plans | $1,675 |
| Humana | Commercial|HMO | $1,782 |
| Humana | Commercial|PPO | $1,782 |
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All common services at St. Luke's Health - Lakeside Hospital