All procedures / Endoscopy
How much does an endoscopy cost?NPI VERIFIED
It depends on the procedure. Without insurance, hospitals that publish a self-pay price list a median of $1,292 for an upper endoscopy (EGD) to $1,750 for a colonoscopy with polyp removal. With insurance, the median rate hospitals negotiated runs from $994 for an upper endoscopy (EGD) to $1,290 for a colonoscopy with polyp removal, across 1,005–1,023 US hospitals that publish federally required price files. Hospitals disagree more than the endoscopy types do: for an upper endoscopy (EGD), the priciest tenth negotiated more than $2,697, 9.6× the cheapest tenth (under $281).
Endoscopy prices by procedure, side by side
Upper Endoscopy (EGD) →CPT 43235 · 1,015 hospitals$994middle half $814–$1,641cash $1,292 · 1.1× MedicareUpper Endoscopy with Biopsy →CPT 43239 · 1,021 hospitals$1,013middle half $830–$1,790cash $1,474 · 1.1× MedicareDiagnostic Colonoscopy →CPT 45378 · 1,023 hospitals$1,020middle half $827–$1,842cash $1,475 · 1.1× MedicareColonoscopy with Polyp Removal →CPT 45385 · 1,005 hospitals$1,290middle half $1,059–$2,100cash $1,750 · 1.1× Medicare$0$1,250$2,500
middle half of hospitalsmedian insurance ratemedian cash priceMedicare rate · one shared scale, $0–$2,500
Codes Upper Endoscopy (EGD) 43235 · Upper Endoscopy with Biopsy 43239 · Diagnostic Colonoscopy 45378 · Colonoscopy with Polyp Removal 45385 · Source: hospital machine-readable files (45 CFR §180), file dates 2022-11-12 to 2026-09-14 · Medicare baseline: CMS OPPS Addendum B, July 2026 · Data extracted 2026-10-06 · Page updated 2026-10-15
Insurance rate
$994–$1,290
median by procedure · 4 endoscopy types
Without insurance
$1,292–$1,750
median cash price by procedure
Cash ÷ insurance
1.3×–1.5×
median cash price over median negotiated rate
Medicare baseline
$927–$1,223
CMS OPPS national · July 2026
These are contract reference rates, not your bill. A median across hospitals is not a quote for your plan or network. Your out-of-pocket cost depends on your deductible, coinsurance and network status.
An upper endoscopy (EGD) looks at the esophagus, stomach and the start of the small intestine; a colonoscopy looks at the colon. A preventive screening colonoscopy is usually covered without cost-sharing — the colonoscopy prices here are the diagnostic and polyp-removal codes.
This is the hospital's facility fee. The physician performing the procedure, anesthesia and any pathology are billed separately.
Coverage: 1,005–1,023 of the 5,419 hospitals in the CMS roster have an identity-verified price file with these services in our data. It is not a random sample, and a hospital missing here has not been judged non-compliant — we may simply not have its file yet. Up to 69 of these hospital files were more than 12 months old at extraction; we keep the figures and say so.
Each endoscopy type, by state and insurance type
Reuse: the price statistics on this page are licensed CC BY 4.0 — use them for anything, including commercial work, crediting "HospitalPriceGrid (ArtiLabs)". Site text, design and paid data extracts are not covered.
Frequently asked questions
- How much does an endoscopy cost without insurance?
- Hospitals that publish a self-pay (cash) price list a median of $1,292 for an upper endoscopy (EGD) up to $1,750 for a colonoscopy with polyp removal (605–654 hospitals list one, depending on the procedure). That is the hospital's facility charge — the doctor performing it, anesthesia and any pathology bill separately. Ambulatory surgery and endoscopy centers aren't in these hospital files and are often cheaper for self-pay patients.
- How much does an endoscopy cost with insurance?
- With insurance, the hospital's negotiated rate is what your plan is billed. Median negotiated rates run from $994 for an upper endoscopy (EGD) to $1,290 for a colonoscopy with polyp removal. Until you meet your deductible you typically pay that negotiated amount; after it, your coinsurance or copay applies. Your plan's own rate can sit above or below these figures.
- Which endoscopy costs the most?
- Of the 4 endoscopy types here, a colonoscopy with polyp removal has the highest median negotiated rate ($1,290) and a colonoscopy with polyp removal the highest median cash price ($1,750); an upper endoscopy (EGD) has the lowest negotiated rate ($994). Each one has its own page with state and insurance-type breakdowns.
- Why does the same endoscopy cost so differently from hospital to hospital?
- Each hospital negotiates separately with each insurer. For an upper endoscopy (EGD), the priciest tenth of hospitals negotiated more than $2,697 — 9.6 times the cheapest tenth (under $281).
- Is the cash price cheaper than using insurance?
- Usually not, but sometimes. Median cash prices here are 1.3×–1.5× the median negotiated rates. Still, at 29%–31% of the hospitals that list a cash price (depending on the procedure), it is lower than that hospital's own median negotiated rate. If you have a high deductible, ask the hospital for its self-pay price before you book.
- What is the Medicare rate shown here?
- It is the CMS national outpatient (OPPS) payment rate (July 2026): $927–$1,223 depending on the procedure. We show it as a government baseline: median negotiated rates are 1.1 times it.
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