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

Posted commercial rates at 48 Tennessee hospitals, each next to its own Medicare base rate.

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CPT 43235

HospitalMedian across insurers× MedicareInsurersFile date
Erlanger Health System Chattanooga$7610.9×32026-01-25
Greeneville Community Hospital Greeneville$8461.0×32026-03-23
Hardin Medical Center Savannah$9441.1×42026-05-01
Johnson City Medical Center Johnson City$1,0801.3×42026-03-23
Sycamore Shoals Hospital Elizabethton$1,1031.3×42026-03-23
Franklin Woods Community Hospital Johnson City$1,1041.3×52026-03-23
Hawkins County Memorial Hospital Rogersville$1,1311.4×42026-03-23
Tennova Healthcare North Knoxville Medical Center Powell$1,1991.5×42026-04-01
Ascension Saint Thomas Dekalb Smithville$1,2391.5×22026-01-01
Ascension Saint Thomas River Park Hospital McMinnville$1,2391.5×22026-01-01
Saint Thomas Highlands Hospital Sparta$1,2391.5×22026-01-01
Ascension Saint Thomas Rutherford Murfreesboro$1,2571.4×32026-01-01
Ascension Saint Thomas Hospital (Midtown + West) Nashville$1,2571.4×52026-01-01
Indian Path Community Hospital Kingsport$1,2661.5×52026-03-23
Rhea Medical Center Dayton$1,3051.6×12026-03-30
Bristol Regional Medical Center Bristol$1,3091.6×52026-03-23
Holston Valley Medical Center Kingsport$1,3091.6×52026-03-23
Cumberland Medical Center Crossville$1,3501.6×52026-08-05
Morristown Hamblen Hospital Association Morristown$1,3501.6×52026-08-05
Roane Medical Center Harriman$1,3501.6×52026-08-05
Methodist Medical Center Of Oak Ridge Oak Ridge$1,3501.6×52026-08-05
Claiborne Medical Center Tazewell$1,3501.6×52026-08-05
Leconte Medical Center Sevierville$1,3501.6×52026-08-05
Fort Sanders Regional Medical Center Knoxville$1,3501.6×52026-08-05
Johnson County Community Hospital Mountain City$1,4251.7×32026-03-23
Vanderbilt Bedford Hospital Shelbyville$1,4471.8×132025-10-01
Vanderbilt Tullahoma-Harton Hospital Tullahoma$1,4471.8×132025-10-01
Vanderbilt Wilson County Hospital Lebanon$1,4521.7×132025-10-01
Baptist Memorial Hospital Union City Union City$1,5411.9×502026-02-25
Erlanger Bledsoe Hospital Pikeville$1,5751.9×12026-01-25
Parkwest Medical Center Knoxville$1,5761.9×42026-08-05
Tennova Healthcare Lafollette Medical Center La Follette$1,5901.9×62026-04-01
Southern Tennessee Regional Health System Pulaski Pulaski$1,7312.1×22026-07-14
Starr Regional Medical Center Athens Athens$1,7312.1×22026-07-10
Southern Tennessee Regional Health System Lawrence Lawrenceburg$1,7312.1×22026-07-14
Methodist Hospitals of Memphis Memphis$1,7992.1×42026-03-19
Vanderbilt University Medical Center Nashville$1,8852.2×132025-10-01
Vanderbilt Clarksville Hospital Clarksville$1,8962.1×72026-01-01
Livingston Regional Hospital Livingston$2,0392.5×22026-04-01
Tristar Northcrest Medical Center Springfield$2,0512.4×62026-09-01
TriStar Skyline Medical Center Nashville$2,1592.5×62026-09-01
TriStar Summit Medical Center Hermitage$2,1592.5×62026-09-01
Tristar Southern Hills Medical Center Nashville$2,1592.5×62026-09-01
Tristar Horizon Medical Center Dickson$2,2122.5×62026-09-01
TriStar Hendersonville Medical Center Hendersonville$2,2122.5×62026-09-01
TriStar StoneCrest Medical Center Smyrna$2,2122.5×62026-09-01
Tristar Ashland City Medical Center Ashland City$2,2122.5×62026-09-01
Parkridge Medical Center Chattanooga$2,2722.7×62026-09-01

Questions

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

48 Tennessee hospitals post usable commercial rates for upper endoscopy (egd), diagnostic in their federal price-transparency files. For CPT 43235, hospital outpatient, the median across 48 hospitals is $1,388, 1.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.