Upper GI endoscopy with biopsy at St. Luke's Health Memorial San Augustine. CPT 43239.

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

Outpatient / ER

—cash price (self-pay)

—list price

$335–$2,957range insurers pay

Insurance plan	Negotiated rate
SUPERIOR \| Medicaid\|All Other Plans	$335
SUPERIOR \| Medicaid\|STARPLUS	$335
TCHP \| Medicaid\|All Plans	$335
UNITED \| Medicaid\|All Other Plans	$335
UNITED \| Medicaid\|STAR	$335
UNITED \| Medicaid\|STARKIDS	$335
Wellpoint \| Medicaid\|All Other Plans	$335
CIGNA HEALTHSPRING \| Medicaid\|STARPLUS	$342
Wellpoint \| Medicaid\|STARPLUS	$345
BCBS \| Medicaid\|All Plans	$352
BCBS-TX \| Commercial\|Blue Advantage HMO	$519
SUPERIOR \| Medicaid\|STAR	$526
Wellpoint \| Medicaid\|STAR	$526
UNITED \| Medicaid\|STARPLUS	$600
AETNA \| Medicare\|All Plans	$799
HUMANA \| Medicare\|All Plans	$799
Wellpoint \| Medicare\|All Plans	$823
CIGNA HEALTHSPRING \| Medicare\|All Other Plans	$839
CIGNA HEALTHSPRING \| Medicare\|PPO	$847
BCBS \| Medicare\|All Plans	$931
UNITED \| Medicare\|All Plans	$931
SCANHealth \| Medicare\|All Plans	$948
MD Save \| Commercial\|All Plans	$999
BCBS-TX \| Commercial\|Blue Premier	$1,155
BCBS-TX \| Commercial\|HMO	$1,179
BCBS-TX \| Commercial\|PPO	$1,297
Wellpoint \| Commercial\|Exchange	$1,396
Angelina County \| Commercial\|All Plans	$2,182
Brookshire Brothers \| Commercial\|All Plans	$2,398
Cigna \| Commercial\|All Plans	$2,957

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