All procedures / Upper Endoscopy (EGD) / Miami–Fort Lauderdale, FL
Upper Endoscopy (EGD) Cost in Miami–Fort Lauderdale, FL (2026): Negotiated Rates by Insurance TypeNPI VERIFIED
Across 7 hospitals in the Miami–Fort Lauderdale, FL area that publish federally required price files, the median negotiated rate under commercial insurance is $2,469 (middle half of hospitals: $1,948–$4,588) and the median self-pay (cash) price is $1,522 for an upper endoscopy (EGD). The Medicare outpatient baseline for the same procedure family is $926.
Source: hospital machine-readable files (45 CFR §180), file dates 2026-01-01 to 2026-07-07 · Medicare baseline: CMS OPPS Addendum B · Data extracted 2026-10-31 · Page updated 2026-10-31
Area covered: hospitals in Miami-Dade, Broward and Palm Beach counties, Florida. Hospitals outside these places are not in this table, even if they serve the area.
Median insured rate
$2,469
commercial plans · 7 of 7 hospitals
Middle half
$1,948–$4,588
25th–75th percentile of hospitals
Median cash
$1,522
self-pay price · 4 hospitals list one
Medicare baseline
$926
CMS OPPS national
This is the hospital's facility fee. The physician performing the procedure, anesthesia and any pathology are billed separately.
These are contract reference rates, not your bill. A plan-type median is not a quote for your specific plan or network. Your out-of-pocket cost depends on your deductible, coinsurance and network status. Rates shown are facility charges only — physician/radiologist fees are billed separately.
| Hospital | Insured median | PPO | HMO | Commercial | Medicare Adv. | ACA Exchange | Medicare | Cash | List (gross) |
Larkin Community Hospital South Miami · CMS 1★ · file updated 2026-07-07 | $771 | $6820.7× Medicare | $1,8322.0× Medicare | $8610.9× Medicare | $8991.0× Medicare | $6480.7× Medicare | $8801.0× Medicare | $543 | $776 |
Memorial Hospital Pembroke Pembroke Pines · CMS 4★ · file updated n/a | $1,948 | $3,9434.3× Medicare | $1,5701.7× Medicare | $3,7114.0× Medicare | $1,0061.1× Medicare | $8811.0× Medicare | $1,0631.1× Medicare | — | $4,639 |
Memorial Hospital Miramar Miramar · CMS 5★ · file updated n/a | $1,948 | $3,9434.3× Medicare | $1,3301.4× Medicare | $3,7114.0× Medicare | $1,0061.1× Medicare | $8811.0× Medicare | $1,0541.1× Medicare | — | $4,639 |
Cleveland Clinic Hospital Weston · CMS 5★ · file updated n/a | $2,468 | $2,3362.5× Medicare | — | $2,6002.8× Medicare | $8690.9× Medicare | — | — | $2,803 | $4,313 |
Mount Sinai Medical Center Of Florida, Inc Miami Beach · CMS 3★ · file updated n/a | $3,205 | $3,2523.5× Medicare | $3,1583.4× Medicare | — | — | — | $9471.0× Medicare | $2,355 | $2,355 |
Wellington Regional Medical Center Wellington · CMS 2★ · file updated 2026-01-01 | $5,972 | $7,2247.8× Medicare | $5,9726.4× Medicare | — | — | $2580.3× Medicare | — | $688 | $1,720 |
Nicklaus Children'S Hospital Miami · file updated n/a | $11,089 | $11,08912.0× Medicare | $11,76012.7× Medicare | $8,1058.7× Medicare | — | — | — | — | — |
Each figure is the median of that hospital's published rates for the procedure's code family under that plan type. "Insured median" is the median of the hospital's commercial-plan rates (PPO, HMO, EPO, POS, ACA marketplace and plans not labelled by type); the headline figure is the median of that column. Hospitals label plan types differently, so compare the Insured median column across hospitals rather than a single plan-type column. "×Medicare" compares to the CMS national outpatient rate. Blank cells mean the hospital's file discloses no dollar rate for that plan 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 upper endoscopy (EGD) cost without insurance in Miami–Fort Lauderdale, FL?
- Of the 7 hospitals in this table, 4 publish a self-pay (cash) price; their median is $1,522. That is the hospital's facility charge — a separately billed doctor's fee may apply. Ambulatory surgery and endoscopy centers aren't in these hospital files and are often cheaper for self-pay patients.
- How much does an upper endoscopy (EGD) cost with insurance in Miami–Fort Lauderdale, FL?
- With insurance, the hospital's negotiated rate is what your plan is billed. Across 7 hospitals here the median commercial-plan rate is $2,469, and the middle half fall between $1,948 and $4,588. Until you meet your deductible you typically pay that negotiated amount; after it, your coinsurance or copay applies.
- Why do Upper Endoscopy (EGD) prices differ so much between Miami–Fort Lauderdale, FL hospitals?
- Each hospital negotiates separately with each insurer, and hospitals in the same health system often share one rate sheet. In this table the cheapest quarter of hospitals negotiated $1,948 or less, while the priciest quarter negotiated $4,588 or more — 2.4 times as much for the same procedure code.
- What is the Medicare rate shown here?
- $927 is the CMS national outpatient (OPPS) payment rate for this procedure family. We show it as a government baseline so you can see each hospital's multiple of it.
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