Price AtlasInteractive atlas · All states · techysurgeon.comUpper endoscopy (EGD), diagnostic: what insurers pay
Scope of the esophagus, stomach and duodenum without biopsy. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
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CPT 43235: Egd Diagnostic Brush Wash
110 hospitals in 36 markets. National Medicare rate $927, surgery center $498.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 4 | — | — | — | $3,320–$3,453 |
| Austin TX | 2 | — | — | — | $909–$3,490 |
| Boston MA | 7 | $1,254 | $1,268 | $1,430 | $1,240–$1,453 |
| California (statewide) | 1 | — | — | — | $7,068–$7,068 |
| Chicago IL | 7 | $2,320 | $2,858 | $3,827 | $1,238–$4,955 |
| Cleveland OH | 5 | $2,744 | $2,762 | $2,794 | $2,525–$2,860 |
| Dallas-Fort Worth TX | 4 | — | — | — | $2,808–$3,616 |
| Denver CO | 7 | $1,974 | $2,944 | $2,990 | $1,441–$3,052 |
| Detroit MI | 7 | $836 | $1,131 | $1,131 | $722–$5,085 |
| Georgia (statewide) | 1 | — | — | — | $3,590–$3,590 |
| Houston TX | 1 | — | — | — | $2,052–$2,052 |
| Illinois (statewide) | 1 | — | — | — | $1,136–$1,136 |
| Indianapolis IN | 1 | — | — | — | $1,454–$1,454 |
| Kansas (statewide) | 1 | — | — | — | $2,472–$2,472 |
| Las Vegas NV | 2 | — | — | — | $1,718–$1,991 |
| Los Angeles CA | 1 | — | — | — | $3,412–$3,412 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $1,512–$1,914 |
| Minneapolis-St. Paul MN | 2 | — | — | — | $1,491–$1,913 |
| Nashville TN | 4 | — | — | — | $928–$2,371 |
| New York (statewide) | 1 | — | — | — | $5,171–$5,171 |
| New York City | 2 | — | — | — | $1,266–$7,334 |
| Ohio (statewide) | 1 | — | — | — | $2,270–$2,270 |
| Philadelphia PA | 5 | $2,299 | $3,415 | $5,292 | $2,196–$6,185 |
| Phoenix AZ | 3 | — | — | — | $2,242–$2,421 |
| Pittsburgh PA | 1 | — | — | — | $3,276–$3,276 |
| Portland OR | 6 | $4,832 | $4,832 | $4,994 | $4,832–$5,048 |
| Richmond VA | 2 | — | — | — | $3,534–$3,534 |
| Salt Lake City UT | 3 | — | — | — | $1,471–$1,589 |
| San Antonio TX | 1 | — | — | — | $1,934–$1,934 |
| San Diego CA | 1 | — | — | — | $1,167–$1,167 |
| San Francisco Bay Area CA | 2 | — | — | — | $8,228–$8,438 |
| Seattle-Tacoma WA | 6 | $3,282 | $3,292 | $3,366 | $2,770–$3,387 |
| St. Louis MO | 7 | $1,820 | $1,925 | $2,310 | $1,349–$3,209 |
| Tampa FL | 2 | — | — | — | $978–$2,190 |
| Washington DC | 6 | $2,279 | $2,601 | $2,716 | $2,044–$2,736 |
| Wisconsin (statewide) | 1 | — | — | — | $2,183–$2,183 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Trinity Health Oakland Hospital | Detroit MI | $722 | 0.8× | 16 | 2026-03-31 |
| Mclaren Port Huron | Detroit MI | $789 | 0.9× | 1 | 2025-12-31 |
| Henry Ford Health Rochester Hospital | Detroit MI | $884 | 1.0× | 2 | 2026-01-01 |
| Ascension Seton Medical Center Austin | Austin TX | $909 | 1.0× | 3 | 2026-01-01 |
| Vanderbilt University Medical Center | Nashville TN | $928 | 1.1× | 8 | 2025-10-01 |
| Morton Plant Hospital | Tampa FL | $978 | 1.0× | 1 | 2026-01-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $1,131 | 1.3× | 1 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $1,131 | 1.3× | 1 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $1,131 | 1.3× | 1 | 2026-05-01 |
| Sarah Bush Lincoln Health Center | Illinois (statewide) | $1,136 | 1.2× | 2 | 2026-06-03 |
| Scripps Green Hospital | San Diego CA | $1,167 | 1.0× | 1 | 2026-03-30 |
| Ascension Saint Thomas Rutherford | Nashville TN | $1,237 | 1.4× | 2 | 2026-01-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $1,238 | 1.3× | 3 | 2026-04-01 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $1,240 | 1.1× | 3 | 2026-04-01 |
| New England Baptist Hospital | Boston MA | $1,252 | 1.1× | 4 | 2026-04-01 |
| Anna Jaques Hospital | Boston MA | $1,257 | 1.2× | 5 | 2026-04-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $1,257 | 1.4× | 3 | 2026-01-01 |
| Montefiore Medical Center | New York City | $1,266 | 1.1× | 9 | 2026-04-01 |
| Winchester Hospital | Boston MA | $1,268 | 1.2× | 4 | 2026-04-01 |
| Mercy Hospital South | St. Louis MO | $1,349 | 1.5× | 1 | 2026-06-10 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $1,412 | 1.3× | 3 | 2026-04-01 |
| Adventhealth Porter | Denver CO | $1,441 | 1.5× | 4 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $1,441 | 1.5× | 4 | 2026-04-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $1,448 | 1.3× | 3 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $1,453 | 1.3× | 5 | 2026-04-01 |
| Hendricks Regional Health | Indianapolis IN | $1,454 | 1.5× | 1 | 2026-05-20 |
| Mckay-Dee Hospital | Salt Lake City UT | $1,471 | 1.6× | 1 | 2026-08-05 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $1,491 | 1.6× | 4 | 2026-03-31 |
| Mount Sinai Medical Center Of Florida, Inc | Miami-Fort Lauderdale FL | $1,512 | 1.6× | 5 | 2026-03-13 |
| Intermountain Health Utah Valley Hospital | Salt Lake City UT | $1,589 | 1.7× | 1 | 2026-08-05 |
| Lds Hospital | Salt Lake City UT | $1,589 | 1.7× | 1 | 2026-08-05 |
| Mercy Hospital St Louis | St. Louis MO | $1,715 | 1.9× | 1 | 2026-06-04 |
| Henderson Hospital | Las Vegas NV | $1,718 | 1.8× | 4 | 2026-09-01 |
| Lakeview Memorial Hospital | Minneapolis-St. Paul MN | $1,913 | 2.0× | 4 | 2026-03-31 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $1,914 | 2.0× | 3 | 2026-06-15 |
| Barnes-Jewish West County Hospital | St. Louis MO | $1,925 | 2.1× | 5 | 2025-12-15 |
| Barnes-Jewish St Peters Hospital | St. Louis MO | $1,925 | 2.1× | 5 | 2025-12-15 |
| Methodist Hospital | San Antonio TX | $1,934 | 2.1× | 5 | 2026-09-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $1,991 | 2.1× | 7 | 2026-07-01 |
| Medstar Georgetown University Hospital | Washington DC | $2,044 | 1.9× | 4 | 2026-04-01 |
| Houston Methodist Hospital | Houston TX | $2,052 | 2.3× | 6 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $2,089 | 2.1× | 2 | 2026-04-01 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $2,183 | 2.4× | 3 | 2026-01-01 |
| Tampa General Hospital | Tampa FL | $2,190 | 2.3× | 3 | 2026-04-01 |
| Missouri Baptist Medical Center | St. Louis MO | $2,196 | 2.4× | 5 | 2025-12-15 |
| Riddle Memorial Hospital | Philadelphia PA | $2,196 | 2.4× | 2 | 2026-04-01 |
| George Washington Univ Hospital | Washington DC | $2,210 | 2.1× | 3 | 2026-09-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $2,242 | 2.3× | 4 | 2026-04-01 |
| Bethesda North | Ohio (statewide) | $2,270 | 2.6× | 4 | 2026-04-01 |
| Bryn Mawr Hospital | Philadelphia PA | $2,299 | 2.5× | 2 | 2026-04-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $2,371 | 2.7× | 5 | 2026-09-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $2,421 | 2.5× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $2,421 | 2.5× | 5 | 2026-04-01 |
| Mercy Hospital Jefferson | St. Louis MO | $2,423 | 2.7× | 1 | 2026-06-10 |
| Menorah Medical Center | Kansas (statewide) | $2,472 | 2.9× | 5 | 2026-09-01 |
| Inova Alexandria Hospital | Washington DC | $2,486 | 2.6× | 5 | 2026-04-01 |
| UCHealth University of Colorado Hospital | Denver CO | $2,507 | 2.6× | 3 | 2025-11-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $2,525 | 2.9× | 3 | 2026-07-14 |
| Endeavor Health Evanston Hospital | Chicago IL | $2,550 | 2.6× | 3 | 2026-04-01 |
| Reston Hospital Center | Washington DC | $2,716 | 2.9× | 4 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $2,716 | 2.9× | 4 | 2026-09-01 |
| Medstar Washington Hospital Center | Washington DC | $2,736 | 2.5× | 1 | 2026-04-01 |
| Medina Hospital | Cleveland OH | $2,744 | 3.2× | 4 | 2026-06-15 |
| Cleveland Clinic (main campus) | Cleveland OH | $2,762 | 3.2× | 4 | 2026-06-16 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $2,770 | 2.6× | 5 | 2026-04-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $2,794 | 3.3× | 3 | 2026-06-15 |
| Medical City Plano | Dallas-Fort Worth TX | $2,808 | 3.1× | 5 | 2026-09-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $2,850 | 3.1× | 3 | 2026-06-29 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $2,858 | 2.9× | 2 | 2026-04-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $2,860 | 3.3× | 3 | 2026-06-15 |
| HCA HealthONE Swedish | Denver CO | $2,944 | 3.1× | 4 | 2026-09-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $2,944 | 3.1× | 4 | 2026-09-01 |
| HCA HealthONE Sky Ridge | Denver CO | $3,036 | 3.2× | 4 | 2026-09-01 |
| Hca Healthone Rose | Denver CO | $3,052 | 3.2× | 4 | 2026-09-01 |
| Barnes Jewish Hospital | St. Louis MO | $3,209 | 3.5× | 5 | 2025-12-15 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $3,276 | 3.7× | 1 | 2026-03-06 |
| St Clare Hospital | Seattle-Tacoma WA | $3,282 | 3.1× | 7 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $3,282 | 3.1× | 7 | 2026-02-28 |
| Swedish Medical Center | Seattle-Tacoma WA | $3,303 | 3.1× | 5 | 2026-04-01 |
| Emory University Hospital | Atlanta GA | $3,320 | 3.6× | 6 | 2026-04-01 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $3,387 | 3.2× | 7 | 2026-08-27 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $3,387 | 3.2× | 7 | 2026-08-27 |
| Keck Hospital Of Usc | Los Angeles CA | $3,412 | 2.9× | 5 | 2026-04-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $3,415 | 3.4× | 5 | 2026-03-24 |
| Piedmont Atlanta Hospital | Atlanta GA | $3,453 | 3.8× | 6 | 2026-07-01 |
| Piedmont Fayette Hospital | Atlanta GA | $3,453 | 3.8× | 6 | 2026-07-01 |
| Piedmont Newnan Hospital | Atlanta GA | $3,453 | 3.8× | 6 | 2026-07-01 |
| Rush University Medical Center | Chicago IL | $3,459 | 3.6× | 2 | 2026-09-25 |
| St David's Medical Center | Austin TX | $3,490 | 3.8× | 5 | 2026-09-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $3,522 | 3.9× | 5 | 2026-09-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $3,534 | 4.0× | 4 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $3,534 | 4.0× | 4 | 2026-09-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $3,590 | 4.5× | 3 | 2026-04-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $3,616 | 4.0× | 2 | 2026-04-21 |
| University of Chicago Medical Center | Chicago IL | $4,195 | 4.3× | 2 | 2026-04-01 |
| Legacy Emanuel Medical Center | Portland OR | $4,832 | 4.8× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $4,832 | 4.8× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $4,832 | 4.8× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $4,832 | 4.8× | 5 | 2026-04-01 |
| Loyola University Medical Center | Chicago IL | $4,955 | 5.1× | 1 | 2026-03-31 |
| Providence St Vincent Medical Center | Portland OR | $5,048 | 5.0× | 2 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $5,048 | 5.0× | 2 | 2026-04-01 |
| Harper University Hospital | Detroit MI | $5,085 | 5.6× | 1 | 2026-09-02 |
| Stony Brook University Hospital | New York (statewide) | $5,171 | 4.6× | 5 | 2026-06-10 |
| Thomas Jefferson University Hospital | Philadelphia PA | $5,292 | 5.7× | 4 | 2026-09-15 |
| Jefferson Stratford Hospital | Philadelphia PA | $6,185 | 6.1× | 3 | 2026-09-15 |
| Los Robles Hospital & Medical Center | California (statewide) | $7,068 | 6.1× | 4 | 2026-09-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $7,334 | 6.5× | 7 | 2026-01-01 |
| John Muir Medical Center - Walnut Creek Campus | San Francisco Bay Area CA | $8,228 | 6.4× | 3 | 2026-03-23 |
| John Muir Medical Center - Concord Campus | San Francisco Bay Area CA | $8,438 | 6.6× | 4 | 2026-03-23 |
Questions
How much do commercial insurers pay hospitals for upper endoscopy (egd), diagnostic?
Across 110 hospitals in 36 metro areas that post a usable dollar rate, the median commercial rate for CPT 43235, hospital outpatient is $2,479, 2.6× the same hospital's local Medicare base rate. The middle half of hospitals runs $1,496 to $3,406. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for upper endoscopy (egd), diagnostic?
Medicare's national hospital outpatient rate for CPT 43235 is $927 and its surgery-center rate is $498, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for upper endoscopy (egd), diagnostic?
Lowest medians: Trinity Health Oakland Hospital ($722), Mclaren Port Huron ($789), Henry Ford Health Rochester Hospital ($884). Highest: John Muir Medical Center - Concord Campus ($8,438), John Muir Medical Center - Walnut Creek Campus ($8,228), NYU Langone Hospitals (Orthopedic Hospital + Tisch files) ($7,334). Coverage is limited to the markets listed on this page.