How much does an Upper GI endoscopy with biopsy cost?

Upper GI endoscopy with biopsy · CPT 43239 · An upper GI endoscopy with biopsy examines the upper digestive tract and samples tissue.

The typical insurer-negotiated price for an Upper GI endoscopy with biopsy is about $1,449, with most between $778 and $2,307 ($1,449 cash/self-pay). Based on published rates from 2,822 U.S. hospitals. Hospital list charges run about $2,536 — roughly 1.8× higher.

Insurer-negotiated
$1,449
typical · $778$2,307
Cash / self-pay
$1,449
typical cash price
Hospital list charge
$2,536
1.8× the negotiated rate

Source: medians across 2,822hospitals' machine-readable price files (required by federal law since 2021). Figures are estimates and vary by hospital, region, insurer, and plan.

Upper GI endoscopy with biopsy cost — frequently asked questions

How much does an Upper GI endoscopy with biopsy cost with insurance?

The typical insurer-negotiated rate for an Upper GI endoscopy with biopsy is about $1,449, with most falling between $778 and $2,307, based on published rates from 2,822 U.S. hospitals. What you actually pay depends on your plan's deductible and coinsurance.

How much does an Upper GI endoscopy with biopsy cost without insurance?

Cash or self-pay prices for an Upper GI endoscopy with biopsy run around $1,449. Uninsured patients are often billed the much higher hospital "list" charge first (about $2,536), so it's worth asking for the cash or self-pay rate and negotiating.

Why is my hospital Upper GI endoscopy with biopsy bill so much higher?

Hospital "list" (chargemaster) prices for an Upper GI endoscopy with biopsy run about $2,536 — roughly 1.8× the $1,449 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 with biopsy?

Yes. If you were charged well above the typical negotiated rate (about $1,449), 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 $1,449?

Upload your bill and Upfronte will check it against real hospital pricing data and negotiate overcharges. No savings, no fee.

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Upper GI endoscopy with biopsy cost by location

Median negotiated prices for specific states and metro areas.

Metro areas

States

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