How much does an Upper GI endoscopy cost?
Upper GI endoscopy (diagnostic) · CPT 43235 · An upper GI endoscopy (EGD) uses a scope to examine the esophagus, stomach, and upper small intestine.
The typical insurer-negotiated price for an Upper GI endoscopy (diagnostic) is about $1,356, with most between $683 and $2,213 ($1,297 cash/self-pay). Based on published rates from 2,837 U.S. hospitals. Hospital list charges run about $2,319 — roughly 1.7× higher.
Source: medians across 2,837hospitals' machine-readable price files (required by federal law since 2021). Figures are estimates and vary by hospital, region, insurer, and plan.
Upper GI endoscopy (diagnostic) cost — frequently asked questions
How much does an Upper GI endoscopy (diagnostic) cost with insurance?
The typical insurer-negotiated rate for an Upper GI endoscopy (diagnostic) is about $1,356, with most falling between $683 and $2,213, based on published rates from 2,837 U.S. hospitals. What you actually pay depends on your plan's deductible and coinsurance.
How much does an Upper GI endoscopy (diagnostic) cost without insurance?
Cash or self-pay prices for an Upper GI endoscopy (diagnostic) run around $1,297. Uninsured patients are often billed the much higher hospital "list" charge first (about $2,319), so it's worth asking for the cash or self-pay rate and negotiating.
Why is my hospital Upper GI endoscopy (diagnostic) bill so much higher?
Hospital "list" (chargemaster) prices for an Upper GI endoscopy (diagnostic) run about $2,319 — roughly 1.7× the $1,356 insurers actually pay. The list price is a starting point almost no one pays; the negotiated and cash rates are the realistic benchmark.
Can I negotiate the cost of an Upper GI endoscopy (diagnostic)?
Yes. If you were charged well above the typical negotiated rate (about $1,356), that gap is negotiable. Upfronte audits your bill against real hospital pricing data and can negotiate it down on your behalf — no savings, no fee.
Were you charged more than $1,356?
Upload your bill and Upfronte will check it against real hospital pricing data and negotiate overcharges. No savings, no fee.
Upload Your BillUpper GI endoscopy (diagnostic) cost by location
Median negotiated prices for specific states and metro areas.
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