How much does an upper endoscopy with biopsy cost in the US?

Across 1,021 hospitals that publish federally required price files, the median negotiated rate is $1,013, and the middle half of hospitals fall between $830 and $1,790. Self-pay cash prices have a median of $1,474 across the 652 hospitals that list one. What you pay out of pocket depends on your deductible, coinsurance and network.

Why do Upper Endoscopy with Biopsy prices vary so much?

Each hospital negotiates separately with each insurer. In these files the priciest tenth of hospitals negotiated more than 9.5 times what the cheapest tenth did, and state medians run from $587 in Arizona to $2,829 in New Jersey.

Is the cash price cheaper than using insurance?

Sometimes. At 205 of the 652 hospitals that list a cash price (31%), 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?

$927 is the CMS national outpatient (OPPS) payment rate for this service (July 2026). We show it as a government baseline: the national median negotiated rate is 1.1 times it.

All procedures / Upper Endoscopy with Biopsy

Upper Endoscopy with Biopsy Cost in the US (2026): What 1,021 Hospitals NegotiatedNPI VERIFIED

Across 1,021 US hospitals that publish federally required price files, the median negotiated rate for an upper endoscopy with biopsy is $1,013 — 1.1× the Medicare outpatient rate of $927. The middle half of hospitals negotiated between $830 and $1,790; the priciest tenth negotiated more than $2,881, 9.5× the cheapest tenth (under $302). Hospitals that list a self-pay price ask a median of $1,474 (652 hospitals).

Code CPT 43239 · Source: hospital machine-readable files (45 CFR §180), file dates 2022-11-12 to 2026-09-14 (median 2026-04-01) · Medicare baseline: CMS OPPS Addendum B, July 2026 · Data extracted 2026-10-06 · Page updated 2026-10-07

National median

$1,013

all plan types · 1,021 hospitals

Middle half

$830–$1,790

25th–75th percentile of hospitals

Median cash price

$1,474

self-pay · 652 hospitals list one

Medicare baseline

$927

CMS OPPS national · July 2026

1,021 hospitals, one bar per price band

median $1,013Medicare $927

$0$2,500$5,000

Each bar counts hospitals whose median rate falls in that price band; the last, dashed bar holds the 39 at $5,000 or more. The cheapest tenth negotiated under $302, the priciest tenth over $2,881 — 9.5× apart for the same procedure.

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.

This is the hospital's facility fee. The physician performing the procedure, anesthesia and any pathology are billed separately.

Coverage: 1,021 of the 5,419 hospitals in the CMS roster have an identity-verified price file with this procedure 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. 67 of these 1,021 hospital files were more than 12 months old at extraction — hospitals must update yearly; we keep the figures and say so rather than hide them.

By insurance type

Insurance type	Hospitals	Median	Middle half	× Medicare
Commercial (plan type not stated)	599	$2,223	$1,162 – $3,342	2.4×
PPO	609	$2,234	$1,179 – $3,400	2.4×
HMO	405	$1,840	$899 – $3,074	2.0×
EPO	91	$1,930	$1,150 – $3,474	2.1×
POS	48	$2,329	$1,547 – $2,788	2.5×
ACA Marketplace	384	$1,520	$1,175 – $2,010	1.6×
Medicare Advantage	564	$901	$679 – $1,015	1.0×
Medicare (as listed)	571	$925	$858 – $1,013	1.0×
Medicaid	593	$795	$370 – $1,290	0.9×
Workers' comp	89	$1,210	$757 – $1,638	1.3×

Plan types are grouped from each hospital's plan names. Each figure is a median of hospital-level medians; types with fewer than 20 hospitals are left out.

By state

State	Hospitals	Median	Middle half	× Medicare	Median cash
Alabama	14	$825	$793 – $859	0.9×	$1,481
Arizona	12	$587	$587 – $973	0.6×	$1,576
Arkansas	15	$788	$351 – $938	0.9×	$1,991
California	35	$1,324	$1,110 – $4,691	1.4×	$1,976
Colorado	7	$1,226	$1,025 – $1,331	1.3×	$1,522
Florida	37	$1,004	$994 – $1,624	1.1×	$1,312
Georgia	25	$1,704	$1,159 – $2,246	1.8×	$1,399
Hawaii	8	$923	$843 – $1,642	1.0×	$1,923
Idaho	12	$1,189	$162 – $2,033	1.3×	$1,510
Illinois	36	$1,233	$972 – $2,165	1.3×	$2,006
Indiana	21	$1,152	$960 – $2,734	1.2×	$1,780
Iowa	37	$695	$276 – $1,230	0.7×	$1,110
Kansas	40	$894	$285 – $1,362	1.0×	$912
Kentucky	28	$923	$757 – $1,582	1.0×	$1,000
Louisiana	20	$855	$544 – $1,374	0.9×	$805
Maine	6	$881	$633 – $1,417	1.0×	$1,194
Massachusetts	8	$1,275	$1,063 – $1,607	1.4×	$1,979
Michigan	26	$907	$513 – $1,498	1.0×	$968
Minnesota	26	$1,363	$952 – $1,627	1.5×	$2,048
Mississippi	20	$859	$773 – $923	0.9×	$1,963
Missouri	31	$891	$697 – $1,122	1.0×	$1,571
Montana	11	$964	$228 – $1,124	1.0×	$707
Nebraska	29	$993	$531 – $1,750	1.1×	$1,779
New Hampshire	6	$1,574	$1,110 – $2,501	1.7×	—
New Jersey	19	$2,829	$1,061 – $3,568	3.1×	$4,881
New Mexico	15	$2,235	$972 – $3,288	2.4×	$1,367
New York	37	$1,141	$991 – $1,329	1.2×	$1,132
North Carolina	19	$905	$885 – $929	1.0×	$1,566
North Dakota	10	$1,378	$720 – $1,708	1.5×	$1,487
Ohio	50	$1,111	$869 – $2,235	1.2×	$2,803
Oklahoma	26	$1,194	$844 – $1,788	1.3×	$1,742
Oregon	23	$1,160	$696 – $2,658	1.3×	$1,073
Pennsylvania	52	$990	$912 – $1,277	1.1×	$1,657
Rhode Island	5	$1,846	$924 – $1,864	2.0×	$2,005
South Carolina	24	$1,027	$893 – $2,437	1.1×	$1,901
South Dakota	7	$1,683	$1,243 – $3,296	1.8×	$2,252
Tennessee	21	$899	$876 – $963	1.0×	$769
Texas	90	$968	$801 – $1,484	1.0×	$1,212
Utah	19	$1,930	$1,010 – $5,528	2.1×	—
Vermont	7	$948	$811 – $1,752	1.0×	$1,578
Virginia	19	$2,060	$1,868 – $2,636	2.2×	$1,163
Washington	18	$972	$199 – $2,149	1.0×	$922
West Virginia	5	$902	$104 – $1,014	1.0×	$4,320
Wisconsin	28	$1,525	$939 – $3,172	1.6×	$1,215
Wyoming	6	$1,318	$678 – $2,551	1.4×	$1,598

middle half of hospitalsstate medianMedicare rate · a dotted end means the range runs past $5,000

States with at least 5 hospitals in our data (45 states). 6 smaller states are counted in the national figures but not listed — a median of two or three hospitals says more about those hospitals than about the state.

Get the data

Hospital-level and insurer-level rates for this procedure are in the full dataset. A free three-procedure sample (brain MRI, head CT, diagnostic colonoscopy) is open under CC BY 4.0: DOI 10.5281/zenodo.23199844 · Kaggle.

Frequently asked questions

How much does an upper endoscopy with biopsy cost in the US?: Across 1,021 hospitals that publish federally required price files, the median negotiated rate is $1,013, and the middle half of hospitals fall between $830 and $1,790. Self-pay cash prices have a median of $1,474 across the 652 hospitals that list one. What you pay out of pocket depends on your deductible, coinsurance and network.
Why do Upper Endoscopy with Biopsy prices vary so much?: Each hospital negotiates separately with each insurer. In these files the priciest tenth of hospitals negotiated more than 9.5 times what the cheapest tenth did, and state medians run from $587 in Arizona to $2,829 in New Jersey.
Is the cash price cheaper than using insurance?: Sometimes. At 205 of the 652 hospitals that list a cash price (31%), 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?: $927 is the CMS national outpatient (OPPS) payment rate for this service (July 2026). We show it as a government baseline: the national median negotiated rate is 1.1 times it.

Other endoscopy prices

Diagnostic Colonoscopy

median $1,020 · 1,023 hospitals

Colonoscopy with Polyp Removal

median $1,290 · 1,005 hospitals

Upper Endoscopy (EGD)

median $994 · 1,015 hospitals

See all 30 procedures →