How much does upper GI endoscopy (EGD) with biopsy cost in Austin, TX?
CPT 43239 — the fair price, every hospital's price, and the Medicare benchmark for Austin, TX.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Dell Seton Medical Center at UT (Austin) lowest | Hospital | $335negotiated | 0.4× | ★★★★★ |
| Ascension Seton Medical Center Austin | Hospital | $909negotiated | 1.0× | ★★★★★ |
| Baylor Scott & White Medical Center – Round Rock | Hospital | $1,149negotiated | 1.2× | ★★★★★ |
| St. David's Medical Center (Austin) | Hospital | $3,120negotiated | 3.3× | ★★★★★ |
| St. David's South Austin Medical Center (Austin) | Hospital | $3,120negotiated | 3.3× | ★★★★★ |
| St. David's North Austin Medical Center (Austin) | Hospital | $3,120negotiated | 3.3× | — |
| St. David's Round Rock Medical Center (Round Rock) | Hospital | $3,120negotiated | 3.3× | — |
- For 43239 (Upper GI endoscopy (EGD) with biopsy), Medicare's benchmark rate is $937.56. A fair self-pay target for this line is $1,875.12. If I was charged more than that, please reduce it toward this benchmark.
- No local cash price is on file for 43239 in TX. Ask the hospital for their cash/self-pay price for this code in writing.
- Please send a fully itemized bill listing every CPT/HCPCS/DRG code and its individual charge, so I can review each line against published rates.
- Separately, what is your financial assistance / charity care policy, and am I eligible? Please send me the application and the income thresholds.
What should 43239 cost in Austin, TX?
For upper GI endoscopy (EGD) with biopsy (CPT 43239) in Austin, TX, a fair self-pay price is around $3,120, with hospitals ranging from $909 to $3,120 across 7 facilities. Medicare's benchmark rate is $938, the floor to negotiate toward. The card above lists each hospital's price, cheapest first, with CMS quality stars.
Frequently asked questions
How much does upper GI endoscopy (EGD) with biopsy cost in Austin, TX?
A fair self-pay price for upper GI endoscopy (EGD) with biopsy (CPT 43239) in Austin, TX is around $3,120, with hospital prices ranging from $909 to $3,120 across 7 facilities. These are estimates from hospital-published prices, not a guarantee.
What is the Medicare rate for CPT 43239?
Medicare pays about $938 for upper GI endoscopy (EGD) with biopsy (CPT 43239). That's the negotiation floor — a fair cash-pay target is roughly 1.5–2× it, well below typical gross charges.
Can I negotiate the price of upper GI endoscopy (EGD) with biopsy?
Yes. Under the federal Hospital Price Transparency rule hospitals must publish these rates, so you can ask to pay the cash or negotiated rate instead of the gross charge. Paste your bill on the home page for a ready-to-send appeal letter and the exact numbers to cite.
Got a bill for this?
If you were charged more than the fair price, you can usually negotiate it down. Paste your itemized bill to get a personalized appeal letter, the exact numbers to cite, an AI negotiation coach, and a charity-care eligibility check — free.
Compare other procedures in Austin, TX
Prices last refreshed September 2026 from each hospital's official CMS machine-readable file. Medicare rate: CY2025 OPPS/PFS/CLFS. Estimates only — not a guarantee.