Upper GI endoscopy with biopsy at St. Luke's Health - Springwoods Village Hospital. CPT 43239.
What St. Luke's Health - Springwoods Village 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–$7,221range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Montgomery Hospital District | Commercial|All Plans | $352 |
| TCHP | Medicaid|STARKIDS | $352 |
| Wellpoint | Medicaid|All Other Plans | $352 |
| Wellpoint | Medicaid|CHIP | $352 |
| Wellpoint | Medicaid|STARKIDS | $352 |
| UHC | Medicaid|CHIP | $359 |
| UHC | Medicaid|STARKIDS | $359 |
| BCBS | Medicaid|All Plans | $370 |
| CHC | Medicaid|All Other Plans | $405 |
| UHC | Medicaid|STAR | $483 |
| BCBS-TX | Commercial|Exchange | $589 |
| Renaissance | Commercial|All Plans | $676 |
| BCBS-TX | Commercial|MyBlue Health Exchange | $754 |
| AETNA | Medicare|All Plans | $958 |
| Amerivantage | Medicare|All Plans | $967 |
| Aetna-Kelsey Care | Commercial|HMO | $1,076 |
| UHC | Medicaid|STARPLUS | $1,099 |
| BCBS-TX | Commercial|Blue Premier | $1,140 |
| KelseyCare | Commercial|Exchange | $1,268 |
| Healthsmart | Commercial|AP3-PPO | $1,285 |
| 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 |
| Cigna | Commercial|All Other Plans | $1,409 |
| Community Health Choice | Commercial|Exchange | $1,409 |
| Superior Health Plan | Commercial|All Plans | $1,409 |
| BCBS-TX | Commercial|PPO | $1,509 |
| Independent Med System | Commercial|All Plans | $1,675 |
| Humana | Commercial|HMO | $1,782 |
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All common services at St. Luke's Health - Springwoods Village Hospital