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

Posted commercial rates at 4 Pennsylvania hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 43235

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$2,1962.4×22026-04-01
Bryn Mawr Hospital Bryn Mawr$2,2992.5×22026-04-01
Upmc Presbyterian Shadyside Pittsburgh$3,2763.7×12026-03-06
Thomas Jefferson University Hospital Philadelphia$5,2925.7×42026-09-15

Questions

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

4 Pennsylvania hospitals post usable commercial rates for upper endoscopy (egd), diagnostic in their federal price-transparency files. For CPT 43235, hospital outpatient, the median across 4 hospitals is $2,788, 3.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.