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Upper endoscopy (EGD), diagnostic in Illinois: what insurers pay

Posted commercial rates at 8 Illinois hospitals, each next to its own Medicare base rate.

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CPT 43235

HospitalMedian across insurers× MedicareInsurersFile date
Sarah Bush Lincoln Health Center Mattoon$1,1361.2×22026-06-03
Endeavor Health Northwest Community Hospital Arlington Heights$1,2381.3×32026-04-01
Endeavor Health Edward Hospital Naperville$2,0892.1×22026-04-01
Endeavor Health Evanston Hospital Evanston$2,5502.6×32026-04-01
Endeavor Health Elmhurst Hospital Elmhurst$2,8582.9×22026-04-01
Rush University Medical Center Chicago$3,4593.6×22026-09-25
University of Chicago Medical Center Chicago$4,1954.3×22026-04-01
Loyola University Medical Center Maywood$4,9555.1×12026-03-31

Questions

How much do insurers pay for upper endoscopy (egd), diagnostic in Illinois?

8 Illinois hospitals post usable commercial rates for upper endoscopy (egd), diagnostic in their federal price-transparency files. For CPT 43235, hospital outpatient, the median across 8 hospitals is $2,704, 2.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.