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Upper endoscopy with biopsy in Houston, TX costs $218 to $2,102. Here's every hospital's price.

11 hospitals in the Houston-Pasadena-The Woodlands, TX metro area publish a cash price for upper endoscopy with biopsy (CPT 43239). We read their files every month so you don't have to.

Across the Houston-Pasadena-The Woodlands, TX metro area, 11 hospitals list a cash price for upper endoscopy with biopsy (CPT 43239). The lowest is $218 at University of Texas Medical Branch Galveston, the median is $592 and the highest is $2,102 at Harris Health. The most expensive hospital lists 9.6 times the cheapest for the same code.

The Houston, TX median of $592 is 58% below the national median of $1,402 across 335 US hospitals with a cash price for this code.

16 of these hospitals also publish the rates they negotiated with insurers, from $62 to $10,062. With insurance you pay a share of the negotiated rate, which is sometimes higher than the cash price; you may ask for the cash price instead.

The files behind these prices are dated between March 2023 and April 2026. 44 other hospitals in the metro area have no readable price for this code: some publish no file, some block automated reading, some leave the code out. They are listed below so you can call them.

$218
lowest cash price in Houston, TX
University of Texas Medical Branch Galveston · 48 mi
$374 below the median
$592
median cash price
11 hospitals
9.6×
highest ÷ lowest
same procedure, same metro
11/60
hospitals with a cash price
44 don't · see who

Sorted by cash price

Hospital facility fee only
1
University of Texas Medical Branch Galveston

Galveston · 48 mi · Older file Mar 2023

$218
list $1,425 · lowest of 5 lines
2
Houston Methodist Hospital

Houston · 7 mi · File Apr 2026

$405
list $810 · lowest of 2 lines
3
Houston Methodist Baytown Hospital

Baytown · 22 mi · File Apr 2026

$592
list $1,183 · lowest of 2 lines
4
Houston Methodist Clear Lake Hospital

Nassau Bay · 23 mi · File Apr 2026

$592
list $1,183 · lowest of 2 lines
5
Houston Methodist Sugarland Hospital

Sugar Land · 24 mi · File Apr 2026

$592
list $1,183
6
Houston Methodist Willowbrook Hospital

Houston · 17 mi · File Apr 2026

$592
list $1,183 · lowest of 2 lines
7
Houston Methodist West Hospital

Houston · 21 mi · File Apr 2026

$592
list $1,183 · lowest of 2 lines
8
Houston Methodist the Woodlands Hospital

The Woodlands · 29 mi · File Apr 2026

$592
list $1,183 · lowest of 2 lines
9
Houston Methodist Cypress Hospital

Cypress · 23 mi · File Apr 2026

$592
list $1,183 · lowest of 2 lines
10
St Luke's Patients Medical Center

Pasadena · 16 mi · File Feb 2026

$1,326
list $3,789 · lowest of 4 lines
11
Harris Health

Houston · 7 mi · File Mar 2026

$2,102
list $4,445 · lowest of 2 lines
12
Baylor St Lukes Medical Center

Houston · 7 mi · File Feb 2026

1

What's in the price

The hospital facility fee for CPT 43239. The doctor, anesthesia and lab work usually bill separately.

2

Cash vs. insured

Cash is what you pay without insurance. With insurance you pay a share of the negotiated rate, which can be higher than cash. You may ask for the cash price.

3

What to say on the phone

"I'd like the self-pay price for CPT 43239, in writing, and whether it covers facility, physician and anesthesia."

About upper endoscopy with biopsy

CPT 43239 is an upper endoscopy (EGD) in which tissue samples are taken from the esophagus, stomach or duodenum. It is the usual code when the exam is done to check for celiac disease, H. pylori, Barrett's esophagus or unexplained inflammation, since all of those need a sample to confirm.

What the price covers

The facility fee: the endoscopy room, nursing, the scope, biopsy forceps, sedation monitoring and recovery. Separately billed: the gastroenterologist, the anesthesia provider and the pathologist. Celiac work-ups often take four to six samples, so ask whether pathology is billed per specimen.

Related codes

  • 43235: EGD, diagnostic, no biopsy
  • 43239: EGD with biopsy (this page)

Hospitals typically price 43239 slightly above 43235. If only one is listed, it is a fair guide for the other.

Why prices vary

The spread within a metro area is usually several times. It tracks the hospital's overall pricing level, not the difficulty of the exam. Community hospitals and hospital-owned outpatient centers sit at the low end; academic medical centers at the high end.

Questions to ask

  • What is the self-pay price for 43239 including pathology?
  • How many samples are planned, and is pathology billed per sample?
  • Who provides anesthesia, and what is their cash rate?

Hospitals in Houston, TX without a price for this procedure

Listed so you know who to call. The reason is what we found on their website.

Questions people ask