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

Posted commercial rates at 7 Montana hospitals, each next to its own Medicare base rate.

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CPT 43235

HospitalMedian across insurers× MedicareInsurersFile date
Phillips County Medical Center Malta$1,1721.3×12026-08-04
Intermountain Health St Vincent Regional Hospital Billings$1,8862.0×82026-03-22
Intermountain Health St James Hospital Butte$1,9692.1×32026-03-22
Great Falls Clinic Hospital Great Falls$2,0522.2×22026-02-18
Logan Health Medical Center Kalispell$2,5952.8×12026-04-01
Providence St Joseph Medical Center Polson$2,6942.9×12026-04-01
St Peters Health Helena$3,6073.9×222026-03-31

Questions

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

7 Montana hospitals post usable commercial rates for upper endoscopy (egd), diagnostic in their federal price-transparency files. For CPT 43235, hospital outpatient, the median across 7 hospitals is $2,052, 2.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.