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

What St. Luke's Health - Sugar Land 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\|All Other Plans	$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
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
Community Health Choice \| Commercial\|All Other Plans	$1,409
Community Health Choice \| Commercial\|Exchange	$1,409
Superior Health Plan \| Commercial\|All Plans	$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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