▸ Compare · PriceTransparency
Upper GI endoscopy with biopsy
CPT 43239 · negotiated-rate distribution across hospitals in TX
Hospitals
74
Min
$80.00
Median
$1,040.42
Max
$3,886.00
Range multiplier
48.6×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 60 | 331 | $55.00 | $1,189.58 | $10,310 | 187.5× |
| UnitedHealthcare | 56 | 172 | $40.24 | $1,500.50 | $6,739.00 | 167.5× |
| Aetna | 53 | 123 | $70.00 | $1,162.00 | $6,989.00 | 99.8× |
| Cigna | 45 | 91 | $80.00 | $3,421.00 | $20,620 | 257.8× |
| baylor scott & white health plan | 21 | 84 | $759.36 | $1,013.24 | $1,409.45 | 1.9× |
| Humana | 47 | 82 | $65.00 | $829.02 | $4,958.00 | 76.3× |
| Medicaid | 22 | 58 | $263.85 | $289.19 | $2,027.61 | 7.7× |
| superior health plan | 22 | 41 | $334.95 | $799.33 | $950.82 | 2.8× |
| Medicare | 11 | 36 | $460.37 | $830.63 | $972.74 | 2.1× |
| prime health services | 22 | 26 | $837.38 | $870.03 | $13,403 | 16.0× |
| Anthem BCBS | 3 | 26 | $269.76 | $269.76 | $2,302.00 | 8.5× |
| healthsmart | 19 | 24 | $132.00 | $3,282.00 | $4,051.10 | 30.7× |
| american health plan | 22 | 22 | $839.30 | $870.47 | $896.92 | 1.1× |
| procare advantage | 21 | 21 | $839.30 | $870.47 | $896.92 | 1.1× |
| triwest | 21 | 21 | $799.33 | $829.02 | $854.21 | 1.1× |
| Ambetter | 20 | 20 | $460.37 | $1,716.07 | $1,892.75 | 4.1× |
| healthcare highways [2210] | 5 | 18 | $535.75 | $855.98 | $2,027.61 | 3.8× |
| healthspring | 18 | 18 | $839.30 | $870.47 | $873.24 | 1.0× |
| corvel | 17 | 17 | $837.38 | $868.48 | $894.87 | 1.1× |
| web tpa [2115] | 5 | 12 | $535.75 | $1,579.56 | $3,899.25 | 7.3× |
| Multiplan | 8 | 11 | $560.00 | $2,002.75 | $5,128.00 | 9.2× |
| Molina | 9 | 10 | $351.70 | $867.24 | $1,668.10 | 4.7× |
| wellpoint | 6 | 10 | $365.10 | $1,026.24 | $1,811.08 | 5.0× |
| wellpoint (fka amerigroup) | 5 | 10 | $334.95 | $594.42 | $856.61 | 2.6× |
| wellmed | 9 | 9 | $65.00 | $864.00 | $880.35 | 13.5× |
| Medicare Advantage | 3 | 8 | $405.59 | $460.37 | $625.44 | 1.5× |
| commercial | entrust | all plans | 8 | 8 | $1,610.26 | $1,912.49 | $2,130.64 | 1.3× |
| commercial | community health choice | exchange | 7 | 7 | $826.26 | $1,215.20 | $1,215.93 | 1.5× |
| healthscope benefits [2290] | 5 | 7 | $382.59 | $817.25 | $2,027.61 | 5.3× |
| First Health | 4 | 6 | $480.00 | $3,812.80 | $4,395.00 | 9.2× |
| scott & white | 5 | 6 | $1,408.56 | $1,408.56 | $3,383.86 | 2.4× |
| commercial | beechstreet | all plans | 6 | 6 | $1,655.00 | $1,655.00 | $1,655.00 | 1.0× |
| velocity provider ppo network | 4 | 6 | $1,021.01 | $1,877.58 | $2,459.17 | 2.4× |
| commercial | phcs | all plans | 6 | 6 | $5,185.00 | $5,185.00 | $5,185.00 | 1.0× |
| sedgwick | 6 | 6 | $1,195.00 | $1,226.02 | $1,277.04 | 1.1× |
| provider network of america | 4 | 5 | $1,705.05 | $1,877.58 | $2,459.17 | 1.4× |
| quik trip | 4 | 5 | $1,705.05 | $1,877.58 | $2,459.17 | 1.4× |
| commercial | nxhealth | all plans | 5 | 5 | $2,616.67 | $2,632.92 | $2,634.52 | 1.0× |
| commercial | kelseycare | all plans | 5 | 5 | $1,361.70 | $1,361.70 | $1,361.70 | 1.0× |
| commercial | kelseycare | exchange | 5 | 5 | $1,093.68 | $1,094.34 | $1,094.34 | 1.0× |
| commercial | renaissance | all plans | 5 | 5 | $583.29 | $583.65 | $583.65 | 1.0× |
| commercial | harris health | ers | 5 | 5 | $1,215.20 | $1,215.93 | $1,215.93 | 1.0× |
| commercial | independent med system | all plans | 5 | 5 | $1,675.00 | $1,675.00 | $1,675.00 | 1.0× |
| 90 degree benefits | 5 | 5 | $864.00 | $2,200.88 | $2,200.88 | 2.5× |
| commercial | superior health plan | all plans | 5 | 5 | $1,215.20 | $1,215.93 | $1,215.93 | 1.0× |
| care improvement | 4 | 4 | $880.35 | $880.35 | $880.35 | 1.0× |
| caprock | 4 | 4 | $2,200.88 | $2,200.88 | $2,200.88 | 1.0× |
| mhs care connect | 2 | 4 | $274.30 | $274.30 | $274.30 | 1.0× |
| black lung [6055] | 4 | 4 | $535.75 | $850.13 | $2,027.61 | 3.8× |
| insurance services of lubbock | 4 | 4 | $1,434.97 | $1,434.97 | $1,434.97 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Baylor S&W Medical Center - Irving | Irving | TX | 16 | — | — | $334.95 | $994.82 | $5,016.00 |
| Baylor University Medical Ctr | Dallas | TX | 17 | — | — | $334.95 | $974.10 | $5,016.00 |
| Baylor S&W All Saints Medical Center | Fort Worth | TX | 17 | — | — | $334.95 | $956.41 | $5,016.00 |
| Centennial Medical Center | Frisco | TX | 17 | — | — | $334.95 | $953.37 | $5,016.00 |
| Baylor Scott & White Mc- Lake Pointe | Rowlett | TX | 17 | — | — | $334.95 | $953.37 | $5,016.00 |
| St. Lukes Lakeside Hospital | The Woodlands | TX | 18 | — | — | $287.68 | $936.55 | $5,185.00 |
| St. Joseph Regional Health Center | Bryan | TX | 9 | — | — | $275.42 | $901.63 | $4,168.00 |
| College Station Medical Center | College Station | TX | 9 | — | — | $275.42 | $901.63 | $4,168.00 |
| Limestone Medical Center | Groesbeck | TX | 7 | $2,156.70 | $1,294.02 | $405.59 | $864.33 | $1,725.36 |
| North Texas Medical Center | Gainsville | TX | 17 | $7,325.00 | $1,831.00 | $320.00 | $864.00 | $6,739.00 |
| Scott & White Cedar Park | Cedar Park | TX | 1 | — | — | $851.37 | $851.37 | $851.37 |
| Brazosport Regional Health System | Lake Jackson | TX | 10 | — | — | $287.68 | $826.26 | $2,431.00 |
| Ut Health East Texas Specialty Hospi | Tyler | TX | 10 | $3,269.00 | $326.90 | $817.25 | $817.25 | $2,052.93 |
| Baylor County Hospital District | Seymour | TX | 9 | $1,750.00 | $1,225.00 | $65.00 | $80.00 | $800.48 |
| Chi St Lukes Health Mem Livingston | Livingston | TX | 8 | — | — | $263.85 | $727.12 | $2,007.00 |
| Chi St Lukes Health Memorial Lufkin | Lufkin | TX | 7 | — | — | $263.85 | $727.12 | $2,007.00 |
| Grimes St. Joseph Health Center | Navasota | TX | 3 | — | — | $275.42 | $631.58 | $4,168.00 |
| Madison St. Joseph Health Center | Madisonville | TX | 3 | — | — | $275.42 | $631.58 | $4,168.00 |
| Lifecare Spec Hosp Of North Texas | Dallas | TX | 11 | $2,143.00 | $214.30 | $488.80 | $535.75 | $2,004.07 |
| Trinity Regional Hospital Sachse | Sachse | TX | 8 | $1,143.00 | $914.40 | $123.53 | $435.40 | $2,460.37 |
| Baylor Orthopedic And Spine Hospital | Arlington | TX | 3 | — | — | $55.00 | $3,886.00 | $8,427.00 |
| St Lukes Health Memorial San August | San Augustine | TX | 4 | — | — | $275.42 | $378.80 | $2,007.00 |
| Baptist Saint Anthonys Hospital | Amarillo | TX | 80 | $5,199.00 | $519.90 | $1,548.20 | $3,639.30 | $4,419.15 |
| Childrens Medical Center Of Plano | Plano | TX | 31 | $4,766.00 | $3,574.50 | $305.12 | $3,336.20 | $6,850.00 |
| Burleson St. Joseph Health Center | Caldwell | TX | 3 | — | — | $275.42 | $289.19 | $1,189.58 |
| Ascension Seton Bastrop | Bastrop | TX | 18 | — | — | $40.24 | $274.30 | $460.37 |
| Ascension Seton Shoal Creek | Austin | TX | 18 | — | — | $40.24 | $274.30 | $460.37 |
| Wilson N Jones Regional Medical Ctr | Sherman | TX | 8 | $1,143.00 | $914.40 | $123.53 | $263.10 | $435.40 |
| Clay County Memorial Hospital | Henrietta | TX | 5 | $5,404.00 | $3,783.00 | $132.00 | $253.00 | $1,729.00 |
| Golden Plains Community Hospital | Borger | TX | 6 | $527.00 | $368.90 | $96.97 | $247.69 | $358.36 |
| Corpus Christi Specialty Hospital | Corpus Christi | TX | 8 | $3,278.89 | $3,278.89 | $2,295.22 | $2,459.17 | $2,951.00 |
| Crescent Medical Center Lancaster | Lancaster | TX | 12 | $20,620 | $13,403 | $743.00 | $2,416.00 | $117,621 |
| Heritage Park Surgical Hospital | Sherman | TX | 2 | $3,924.00 | $2,354.40 | $825.87 | $2,370.00 | $3,538.00 |
| Baylor Scott And White Mc At Sunnyva | Sunnyvale | TX | 2 | $4,538.00 | $2,722.80 | $825.87 | $2,370.00 | $3,538.00 |
| Dimmit Regional Hospital District | Carrizo Springs | TX | 3 | $8,222.00 | $4,933.00 | $519.00 | $2,218.00 | $7,893.00 |
| Glen Rose Medical Center | Glen Rose | TX | 8 | $2,878.00 | $2,878.00 | $1,315.00 | $2,015.00 | $2,734.00 |
| Falls Community Hospital And Clinic | Marlin | TX | 6 | $2,840.00 | $2,272.00 | $825.51 | $1,988.00 | $3,536.64 |
| Warm Springs Rehab Hosp Kyle | Kyle | TX | 8 | $2,503.44 | $2,503.44 | $1,752.41 | $1,940.17 | $2,253.10 |
| Acuity Hospital Of South Texas | San Antonio | TX | 11 | $2,273.40 | $2,273.40 | $132.44 | $1,705.05 | $2,046.06 |
| Shannon Medical Center | San Angelo | TX | 14 | — | — | $351.70 | $1,434.97 | $2,239.87 |
| River Crest Hospital | San Angelo | TX | 14 | — | — | $351.70 | $1,434.97 | $2,239.87 |
| San Angelo Community Medical Center | San Angelo | TX | 14 | — | — | $351.70 | $1,434.97 | $2,239.87 |
| Big Spring State Hospital | Big Springs | TX | 14 | — | — | $351.70 | $1,434.97 | $2,239.87 |
| Scott & White Hospital Brenham | Brenham | TX | 5 | — | — | $1,163.16 | $1,414.66 | $4,025.00 |
| Crane County Hospital District | Crane | TX | 2 | $2,200.00 | $1,540.00 | $1,342.00 | $1,362.00 | $1,980.00 |
| Scott And White Memorial Hospital | Temple | TX | 16 | — | — | $334.95 | $1,163.16 | $4,958.00 |
| Bsw Medical Center - Austin | Austin | TX | 11 | — | — | $334.95 | $1,163.16 | $4,958.00 |
| College Station Hospital | College Station | TX | 15 | — | — | $811.50 | $1,163.16 | $4,958.00 |
| Mid Coast Medical Center-Central | Llano | TX | 11 | — | — | $334.95 | $1,163.16 | $4,958.00 |
| Baylor Scott & White Pflugerville | Pflugerville | TX | 15 | — | — | $334.95 | $1,163.16 | $4,958.00 |
| Scott And White Hospital Taylor | Taylor | TX | 11 | — | — | $334.95 | $1,163.16 | $4,958.00 |
| Hillcrest Baptist Medical Center | Waco | TX | 15 | — | — | $334.95 | $1,163.16 | $4,958.00 |
| Baylor Heart And Vascular Hospital | Dallas | TX | 10 | — | — | $787.57 | $1,148.95 | $5,303.00 |
| Chi St Lukes Health Baylor Med Ctr | Houston | TX | 18 | — | — | $287.68 | $1,093.68 | $5,185.00 |
| Round Rock Hospital | Round Rock | TX | 17 | — | — | $334.95 | $1,090.38 | $4,958.00 |
| Baylor Scott & White - Buda | Buda | TX | 11 | — | — | $334.95 | $1,090.38 | $4,958.00 |
| Baylor Scott & White - Marble Falls | Marble Falls | TX | 15 | — | — | $334.95 | $1,083.16 | $4,958.00 |
| St. Lukes Patients Medical Center | Pasadena | TX | 14 | $2,578.00 | $902.30 | $273.30 | $1,076.00 | $5,185.00 |
| St Lukes Hospital At The Vintage | Houston | TX | 19 | — | — | $287.68 | $1,073.32 | $5,185.00 |
| Baylor S&W Medical Center - Plano | Plano | TX | 15 | — | — | $334.95 | $1,040.42 | $5,016.00 |
| The Heart Hospital Baylor Plano | Plano | TX | 15 | — | — | $334.95 | $1,040.42 | $5,303.00 |
| Baylor Scott & White Wmc - Brenham | Brenham | TX | 15 | — | — | $334.95 | $1,040.42 | $5,303.00 |
| Baylor S&W Medical Center - Mckinney | Mckinney | TX | 15 | — | — | $334.95 | $1,040.42 | $5,016.00 |
| Texas Rehabilitation Hospital Of Kel | Keller | TX | 13 | $3,532.00 | $353.20 | $883.00 | $1,038.41 | $1,804.85 |
| St. Lukes Sugar Land Hospital | Sugar Land | TX | 17 | — | — | $287.68 | $1,026.02 | $5,185.00 |
| St. Lukes The Woodlands Hospital | The Woodlands | TX | 18 | — | — | $287.68 | $1,026.02 | $5,185.00 |
| Seton Medical Center Harker Heights | Harker Heights | TX | 14 | $3,188.25 | $318.82 | $286.52 | $1,024.50 | $2,761.02 |
| Pam Squared At Corpus Christi | Corpus Chrsti | TX | 26 | $2,503.44 | $2,503.44 | $127.08 | $1,021.01 | $2,127.92 |
| Baylor Medical Center-Grapevine | Grapevine | TX | 15 | — | — | $334.95 | $1,020.86 | $5,016.00 |
| Yoakum County Hospital | Denver City | TX | 0 | $2,271.76 | $2,271.76 | — | — | — |
| Navarro Regional Hospital | Corsicana | TX | 0 | $19,076 | $4,578.31 | — | — | — |
| Nocona General Hospital | Nocona | TX | 0 | $2,475.00 | $27.85 | — | — | — |
| Longview Regional Medical Center | Longview | TX | 0 | $19,071 | $3,432.74 | — | — | — |
| Laredo Medical Center | Laredo | TX | 0 | $14,095 | $3,382.68 | — | — | — |
Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.