How much does an upper endoscopy (EGD) cost in the US?

Across 1,015 hospitals that publish federally required price files, the median negotiated rate is $994, and the middle half of hospitals fall between $814 and $1,641. Self-pay cash prices have a median of $1,292 across the 654 hospitals that list one. What you pay out of pocket depends on your deductible, coinsurance and network.

Why do Upper Endoscopy (EGD) prices vary so much?

Each hospital negotiates separately with each insurer. In these files the priciest tenth of hospitals negotiated more than 9.6 times what the cheapest tenth did, and state medians run from $370 in Iowa to $2,201 in South Dakota.

Is the cash price cheaper than using insurance?

Sometimes. At 205 of the 654 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 (EGD)

Upper Endoscopy (EGD) Cost in the US (2026): What 1,015 Hospitals NegotiatedNPI VERIFIED

Across 1,015 US hospitals that publish federally required price files, the median negotiated rate for an upper endoscopy (EGD) is $994 — 1.1× the Medicare outpatient rate of $927. The middle half of hospitals negotiated between $814 and $1,641; the priciest tenth negotiated more than $2,697, 9.6× the cheapest tenth (under $281). Hospitals that list a self-pay price ask a median of $1,292 (654 hospitals).

Code CPT 43235 · 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

$994

all plan types · 1,015 hospitals

Middle half

$814–$1,641

25th–75th percentile of hospitals

Median cash price

$1,292

self-pay · 654 hospitals list one

Medicare baseline

$927

CMS OPPS national · July 2026

1,015 hospitals, one bar per price band

median $994Medicare $927

$0$2,500$5,000

Each bar counts hospitals whose median rate falls in that price band; the last, dashed bar holds the 33 at $5,000 or more. The cheapest tenth negotiated under $281, the priciest tenth over $2,697 — 9.6× 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: 1,015 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 1,015 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	$1,935	$1,094 – $3,029	2.1×
PPO	616	$2,081	$1,156 – $3,126	2.2×
HMO	414	$1,687	$900 – $2,699	1.8×
EPO	86	$1,869	$1,298 – $3,021	2.0×
POS	47	$1,737	$1,439 – $2,718	1.9×
ACA Marketplace	389	$1,427	$1,089 – $1,845	1.5×
Medicare Advantage	557	$899	$568 – $986	1.0×
Medicare (as listed)	576	$919	$849 – $994	1.0×
Medicaid	599	$742	$337 – $1,158	0.8×
Workers' comp	102	$1,220	$672 – $1,891	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 – $853	0.9×	$1,368
Arizona	12	$587	$587 – $973	0.6×	$1,456
Arkansas	14	$583	$346 – $854	0.6×	$1,240
California	37	$1,161	$871 – $3,762	1.3×	$1,223
Colorado	7	$1,020	$826 – $1,200	1.1×	$1,096
Florida	38	$1,002	$994 – $1,445	1.1×	$1,042
Georgia	25	$1,689	$1,092 – $1,890	1.8×	$1,094
Hawaii	7	$919	$755 – $1,020	1.0×	$745
Idaho	12	$1,244	$144 – $2,033	1.3×	$1,660
Illinois	36	$1,065	$972 – $2,145	1.1×	$1,462
Indiana	21	$1,152	$960 – $2,309	1.2×	$1,866
Iowa	33	$370	$234 – $927	0.4×	$864
Kansas	39	$821	$250 – $1,238	0.9×	$854
Kentucky	29	$923	$851 – $1,385	1.0×	$1,041
Louisiana	19	$852	$486 – $1,305	0.9×	$789
Maine	6	$786	$554 – $1,784	0.8×	$1,146
Massachusetts	8	$1,252	$1,063 – $1,462	1.4×	$1,815
Michigan	26	$902	$513 – $1,466	1.0×	$845
Minnesota	25	$1,157	$948 – $1,627	1.2×	$1,810
Mississippi	20	$859	$773 – $923	0.9×	$1,518
Missouri	31	$891	$639 – $944	1.0×	$1,977
Montana	11	$480	$195 – $919	0.5×	$558
Nebraska	27	$927	$498 – $1,609	1.0×	$1,586
Nevada	6	$1,148	$1,148 – $1,148	1.2×	$10,013
New Hampshire	6	$1,574	$1,085 – $2,501	1.7×	—
New Jersey	19	$2,148	$1,074 – $2,699	2.3×	$4,754
New Mexico	15	$1,450	$972 – $2,500	1.6×	$1,045
New York	38	$1,134	$899 – $1,294	1.2×	$833
North Carolina	19	$905	$885 – $929	1.0×	$1,510
North Dakota	9	$655	$363 – $1,363	0.7×	$633
Ohio	49	$1,199	$870 – $2,294	1.3×	$2,803
Oklahoma	25	$1,495	$861 – $1,781	1.6×	$1,912
Oregon	20	$1,521	$809 – $2,658	1.6×	$1,218
Pennsylvania	53	$965	$916 – $1,244	1.0×	$1,509
Rhode Island	5	$1,846	$924 – $1,864	2.0×	$2,005
South Carolina	25	$1,020	$887 – $2,128	1.1×	$1,473
South Dakota	7	$2,201	$1,409 – $2,287	2.4×	$2,482
Tennessee	21	$899	$876 – $963	1.0×	$668
Texas	90	$967	$664 – $1,425	1.0×	$957
Utah	19	$1,589	$1,010 – $5,528	1.7×	—
Vermont	7	$899	$648 – $1,597	1.0×	$1,482
Virginia	19	$1,900	$1,677 – $2,636	2.1×	$1,163
Washington	18	$953	$212 – $1,616	1.0×	$911
Wisconsin	29	$1,684	$941 – $3,054	1.8×	$1,321
Wyoming	6	$785	$624 – $1,151	0.8×	$1,007

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 (EGD) cost in the US?: Across 1,015 hospitals that publish federally required price files, the median negotiated rate is $994, and the middle half of hospitals fall between $814 and $1,641. Self-pay cash prices have a median of $1,292 across the 654 hospitals that list one. What you pay out of pocket depends on your deductible, coinsurance and network.
Why do Upper Endoscopy (EGD) prices vary so much?: Each hospital negotiates separately with each insurer. In these files the priciest tenth of hospitals negotiated more than 9.6 times what the cheapest tenth did, and state medians run from $370 in Iowa to $2,201 in South Dakota.
Is the cash price cheaper than using insurance?: Sometimes. At 205 of the 654 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 with Biopsy

median $1,013 · 1,021 hospitals

See all 30 procedures →