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

Posted commercial rates at 3 New York hospitals, each next to its own Medicare base rate.

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CPT 43235

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$1,2661.1×92026-04-01
Stony Brook University Hospital Stony Brook$5,1714.6×52026-06-10
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$7,3346.5×72026-01-01

Questions

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

3 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 3 hospitals is $5,171, 4.6× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.