Upper GI endoscopy with biopsy at Texoma Medical Center. CPT 43239.
What Texoma Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$4,222cash price (self-pay)
$5,629list price
$342–$5,138range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Superior | Medicaid | $342 |
| Molina | Medicaid | $370 |
| Tchp Star | Medicaid | $370 |
| Oklahoma | Medicaid | $722 |
| UHC Star Plus | Medicaid | $740 |
| Wellpt Amgrp Str Pls | Medicaid | $740 |
| Superior Hlth Str Pls | Medicaid | $755 |
| Molina Star Plus | Medicaid | $777 |
| Wellpoint Starkids | Medicaid | $821 |
| Blue_cross_blue_shield_of_tx | Qhp | $1,045 |
| Amerigroup | Medicaid | $1,240 |
| UHC Star | Medicaid | $1,240 |
| Superior Star | Medicaid | $1,265 |
| Blue_cross_blue_shield_of_tx | HMO | $1,265 |
| Tchp | Medicaid | $1,302 |
| Blue_cross_blue_shield_of_tx | PPO | $1,320 |
| Aetna | Managed_care | $1,435 |
| Coventry_healthfirst | Managed_care | $1,464 |
| Healthchoice | Managed_care | $1,688 |
| Multiplan | Managed_care | $3,000 |
| Healthsmart | Managed_care | $4,222 |
| Humana | Managed_care | $4,352 |
| UHC Exchange | Qhp | $4,797 |
| United_healthcare | Managed_care | $5,138 |
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