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

Posted commercial rates at 45 New York hospitals, each next to its own Medicare base rate.

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CPT 43235

HospitalMedian across insurers× MedicareInsurersFile date
Strong Memorial Hospital Rochester$8270.7×72026-07-01
St Charles Hospital Port Jefferson$8420.7×92026-04-01
Arnot Ogden Medical Center Elmira$8770.8×12026-03-27
Elizabethtown Community Hospital Elizabethtown$8810.8×12026-04-28
Niagara Falls Memorial Medical Center Niagara Falls$1,1601.0×32026-06-17
Wynn Hospital Utica$1,2341.1×152026-08-07
Oneida Health Oneida$1,2541.1×102026-09-27
Montefiore Medical Center Bronx$1,2661.1×162026-04-01
Nassau University Medical Center East Meadow$1,3601.2×52025-10-28
St Joseph'S Medical Center Yonkers$1,4701.3×22026-07-13
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$1,4751.3×92026-09-05
Jacobi Medical Center Bronx$1,4751.3×92026-09-05
Elmhurst Hospital Center Elmhurst$1,4751.3×92026-09-05
South Brooklyn Health Brooklyn$1,4751.3×92026-09-05
Metropolitan Hospital Center New York$1,4751.3×92026-09-05
Kings County Hospital Center Brooklyn$1,4751.3×92026-09-05
Bellevue Hospital Center New York$1,4751.3×92026-09-05
Queens Hospital Center Jamaica$1,4751.3×92026-09-05
Harlem Hospital Center New York$1,4751.3×92026-09-05
Bronxcare Hospital Center Bronx$1,6621.5×62026-05-05
Jones Memorial Hospital Wellsville$1,8031.6×92026-01-01
Highland Hospital Rochester$1,9561.7×42026-07-01
Geneva General Hospital Geneva$1,9981.8×32026-08-27
Nicholas H Noyes Memorial Hospital Dansville$2,0241.8×82026-01-01
Crouse Hospital Syracuse$2,0331.8×32026-05-19
Schuyler Hospital Montour Falls$2,1981.9×12026-03-27
Garnet Health Medical Center Middletown$2,3212.0×112026-04-01
Samaritan Medical Center Watertown$2,3882.1×42026-02-02
Erie County Medical Center Buffalo$2,4922.2×72026-08-25
St James Hospital Hornell$2,5582.3×72026-01-01
Medina Memorial Hospital Medina$2,5912.3×32026-07-29
Montefiore Mount Vernon Hospital Mount Vernon$2,5942.3×102026-04-01
Columbia Memorial Hospital Hudson$2,8302.5×62025-12-31
Garnet Health Medical Center Catskills Harris$2,8302.5×102026-04-01
Roswell Park Cancer Institute Buffalo$2,9962.6×32026-04-01
Saratoga Hospital Saratoga Springs$3,1412.8×42025-12-31
Jamaica Hospital Medical Center Jamaica$3,3332.9×102026-03-25
Samaritan Hospital Troy$3,6073.2×242026-03-31
Glens Falls Hospital Glens Falls$3,7583.3×62025-12-31
Guthrie Cortland Regional Medical Center Cortland$3,7923.4×42026-03-31
Albany Medical Center Hospital Albany$3,8423.4×62025-12-31
Maimonides Medical Center Brooklyn$4,0903.6×72026-04-01
Stony Brook University Hospital Stony Brook$5,1714.6×52026-06-10
Corning Hospital Corning$6,0955.4×32026-03-31
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$6,9646.2×92026-01-01

Questions

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

45 New York hospitals post usable commercial rates for upper endoscopy (egd), diagnostic in their federal price-transparency files. For CPT 43235, hospital outpatient, the median across 45 hospitals is $1,998, 1.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.