Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
EGD BIOPSY SINGLE/MULTIPLE
Houston, TX
See all hospitals reporting CPT 43239 →Price type
Chi St. Luke's Health Baylor College Of Medicine Medical Center’s median price of $1.1k is 5% below the median hospital's median price ($1.2k), higher than 45% of the 2,368 hospitals reporting CPT 43239. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 39 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | UnitedHealthcare medicaid|all other plans case rate · outpatient | $359.42 | $359.42 | $359.42 – $359.42 |
| 2 | UnitedHealthcare medicaid|chip case rate · outpatient | $359.42 | $359.42 | $359.42 – $359.42 |
| 3 | UnitedHealthcare medicaid|starkids case rate · outpatient | $359.42 | $359.42 | $359.42 – $359.42 |
| 4 | Blue Cross Blue Shield medicaid|all plans case rate · outpatient | $369.99 | $369.99 | $369.99 – $369.99 |
| 5 | UnitedHealthcare medicaid|star case rate · outpatient | $482.75 | $482.75 | $482.75 – $482.75 |
| 6 | Blue Cross Blue Shield commercial|blue advantage exchange case rate · outpatient | $660.17 | $660.17 | $660.17 – $660.17 |
| 7 | Blue Cross Blue Shield commercial|myblue health exchange case rate · outpatient | $723.05 | $723.05 | $723.05 – $723.05 |
| 8 | UnitedHealthcare commercial|optum percent of total billed charges · outpatientfrom % of charges | $799.16 | $799.16 | $799.16 – $799.16 |
| 9 | Aetna medicare|transplant case rate · outpatient | $939.08 | $939.08 | $939.08 – $939.08 |
| 10 | Blue Cross Blue Shield medicare|all plans case rate · outpatient | $939.08 | $939.08 | $939.08 – $939.08 |
| 11 | Cigna Healthspring medicare|hmo case rate · outpatient | $939.08 | $939.08 | $939.08 – $939.08 |
| 12 | Humana medicare|all other plans case rate · outpatient | $939.08 | $939.08 | $939.08 – $939.08 |
| 13 | Humana medicare|transplant case rate · outpatient | $939.08 | $939.08 | $939.08 – $939.08 |
| 14 | Cigna Healthspring medicare|ppo case rate · outpatient | $948.47 | $948.47 | $948.47 – $948.47 |
| 15 | Aetna medicare|all other plans case rate · outpatient | $957.86 | $957.86 | $957.86 – $957.86 |
| 16 | UnitedHealthcare medicare|all plans case rate · outpatient | $957.86 | $957.86 | $957.86 – $957.86 |
| 17 | Blue Cross Blue Shield commercial|transplant case rate · outpatient | $1,000 | $1,000 | $1,000 – $1,000 |
| 18 | UnitedHealthcare medicaid|starplus case rate · outpatient | $1,099 | $1,099 | $1,099 – $1,099 |
| 19 | Aetna commercial|kelseycare case rate · outpatient | $1,195 | $1,195 | $1,195 – $1,195 |
| 20 | Blue Cross Blue Shield commercial|premier case rate · outpatient | $1,312 | $1,312 | $1,312 – $1,312 |
| 21 | Optum medicaid|star percent of total billed charges · outpatientfrom % of charges | $1,381 | $1,381 | $1,381 – $1,381 |
| 22 | Superior Healthplan commercial|all plans case rate · outpatient | $1,409 | $1,409 | $1,409 – $1,409 |
| 23 | Aetna commercial|hmo case rate · outpatient | $1,438 | $1,438 | $1,438 – $1,438 |
| 24 | Aetna commercial|exchange case rate · outpatient | $1,446 | $1,446 | $1,446 – $1,446 |
| 25 | Blue Cross Blue Shield commercial|hmo case rate · outpatient | $1,603 | $1,603 | $1,603 – $1,603 |
Last updated: Feb 28, 2026
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