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Upper endoscopy (EGD), diagnostic in New York City

Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.

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CPT 43235

Hospital · insurerRate× MedicarePlans
Montefiore Medical Center median $1,266 · local Medicare $1,132 · file 2026-04-01
1199SEIU$3,2322.9×1
Aetna$1,2321.1×4
Christian Brothers$5,5204.9×1
Cigna$7130.6×5
Elevance/Anthem/Empire$1,3011.1×19
EmblemHealth$2,5612.3×11
Healthfirst$9620.8×1
Magnacare (rental network)$1,2601.1×1
MultiPlan/PHCS (rental network)$8940.8×1
Mvp$6560.6×2
Nat Assoc Letter Carriers$5,5204.9×1
Nippon Life Insurance$5,5204.9×1
Northwell$1,0510.9×2
Oscar$5,5104.9×3
Point Comfort$1,1321.0×1
UnitedHealthcare$1,1491.0×6
LINCOLN MEDICAL & MENTAL HEALTH CENTER median $1,475 · local Medicare $1,132 · file 2026-09-05
1199SEIU$8360.7×1
Aetna$1,4751.3×2
Carelon$9720.9×1
Cigna$2,8922.6×2
Elevance/Anthem/Empire$1,7731.6×14
EmblemHealth$1,0160.9×3
Oscar$3,0722.7×2
UnitedHealthcare$1,8001.6×6
Vaccn$1,1091.0×1
Jacobi Medical Center median $1,475 · local Medicare $1,132 · file 2026-09-05
1199SEIU$8360.7×1
Aetna$1,4751.3×2
Carelon$9950.9×1
Cigna$2,8922.6×2
Elevance/Anthem/Empire$1,7711.6×14
EmblemHealth$1,0160.9×3
Oscar$3,0722.7×2
UnitedHealthcare$1,8001.6×6
Vaccn$1,1091.0×1
Elmhurst Hospital Center median $1,475 · local Medicare $1,132 · file 2026-09-05
1199SEIU$8360.7×1
Aetna$1,4751.3×2
Carelon$9700.9×1
Cigna$2,8922.6×2
Elevance/Anthem/Empire$1,7591.6×14
EmblemHealth$1,0160.9×3
Oscar$3,0722.7×2
UnitedHealthcare$1,8001.6×6
Vaccn$1,1091.0×1
South Brooklyn Health median $1,475 · local Medicare $1,132 · file 2026-09-05
1199SEIU$8360.7×1
Aetna$1,4751.3×2
Carelon$9910.9×1
Cigna$2,8922.6×2
Elevance/Anthem/Empire$1,7681.6×14
EmblemHealth$1,0160.9×3
Oscar$3,0722.7×2
UnitedHealthcare$1,8001.6×6
Vaccn$1,1091.0×1
Jamaica Hospital Medical Center median $3,333 · local Medicare $1,132 · file 2026-03-25
Aetna$2,8422.5×4
Centerlight Healthcare$1,1271.0×1
Centivo$4,6794.1×1
Cigna$4,2503.8×1
Create Health Plan$3,3993.0×1
Elderplan$1,1491.0×1
Elevance/Anthem/Empire$3,3332.9×3
EmblemHealth$3,5093.1×2
Healthfirst$9580.8×1
MagnaCare (rental network)$4,5554.0×1
Maimonides Medical Center median $4,090 · local Medicare $1,132 · file 2026-04-01
1199SEIU$2,0621.8×1
Aetna$4,0663.6×3
Centivo$6,3605.6×1
Elevance/Anthem/Empire$4,1133.6×2
EmblemHealth$3,4423.0×1
Magnacare (rental network)$5,8305.2×1
UnitedHealthcare$4,5744.0×7
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $6,964 · local Medicare $1,132 · file 2026-01-01
1199SEIU$3,6813.3×3
Aetna$6,5935.8×24
BCBS (other)$7,3346.5×16
Centerlight$1,1321.0×2
Cigna$6,4875.7×22
Elevance/Anthem/Empire$7,3346.5×36
EmblemHealth$7,8556.9×47
Magnacare (rental network)$6,7265.9×1
UnitedHealthcare$8,6097.6×24

Questions

How much does upper endoscopy (egd), diagnostic cost with commercial insurance in New York City?

8 New York City hospitals post usable commercial rates for CPT 43235, hospital outpatient. The median across hospitals is $1,475; hospital medians range from $1,266 to $6,964. Your cost depends on your plan's deductible and coinsurance.