Upper GI endoscopy with biopsy at St. Luke's Health - Patients Medical Center. CPT 43239.
What St. Luke's Health - Patients Medical Center publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$1,326cash price (self-pay)
$3,789list price
$318–$7,221range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHC | Medicaid|All Plans | $318 |
| TCHP | Medicaid|All Plans | $318 |
| Wellpoint | Medicaid|All Plans | $335 |
| UNITED | Medicaid|All Other Plans | $342 |
| UNITED | Medicaid|STAR | $459 |
| BCBS-TX | Commercial|Exchange | $589 |
| BCBS - TX | Commercial|MyBlue Health Exchange | $754 |
| BCBS | Medicare|All Plans | $939 |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $939 |
| AETNA | Medicare|All Plans | $958 |
| AMERIVANTAGE | Medicare|All Plans | $967 |
| DEVOTED | Medicare|All Plans | $1,005 |
| UNITED | Medicaid|STARPLUS | $1,045 |
| Aetna-Kelsey Care | Commercial|HMO | $1,076 |
| BCBS-TX | Commercial|Blue Premier | $1,140 |
| Aetna | Commercial|HMO | $1,298 |
| BCBS-TX | Commercial|HMO | $1,352 |
| Bright Health | Commercial|All Plans | $1,353 |
| Ambetter | Commercial|All Plans | $1,409 |
| Community Health Choice | Commercial|Exchange | $1,409 |
| Wellpoint | Commercial|Exchange | $1,409 |
| BCBS-TX | Commercial|PPO | $1,509 |
| Humana | Commercial|HMO | $1,782 |
| Humana | Commercial|PPO | $1,782 |
| Cigna Lifesource | Commercial|Transplant | $2,274 |
| United | Commercial|Exchange | $2,303 |
| Coventry | Commercial|PPO | $2,463 |
| First Health | Commercial|All Plans | $2,463 |
| Aetna | Commercial|PPO | $2,577 |
| Cigna | Commercial|Surefit | $2,609 |
Inpatient
$1,326cash price (self-pay)
$3,789list price
$2,463–$2,842range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Coventry | Commercial|PPO | $2,463 |
| First Health | Commercial|All Plans | $2,463 |
| Cigna | Commercial|Transplant | $2,653 |
| Healthsmart | Commercial|PPO | $2,653 |
| MultiPlan | Commercial|All Plans | $2,842 |
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All common services at St. Luke's Health - Patients Medical Center