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

Posted commercial rates at 8 Texas 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
Ascension Seton Medical Center Austin Austin$9091.0×32026-01-01
Methodist Hospital San Antonio$1,9342.1×52026-09-01
Houston Methodist Hospital Houston$2,0522.3×62026-04-01
Medical City Plano Plano$2,8083.1×52026-09-01
Baylor University Medical Center Dallas$2,8503.1×32026-06-29
St David's Medical Center Austin$3,4903.8×52026-09-01
Medical City Mckinney McKinney$3,5223.9×52026-09-01
Texas Health Presbyterian Hospital Dallas Dallas$3,6164.0×22026-04-21

Questions

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

8 Texas hospitals post usable commercial rates for upper endoscopy (egd), diagnostic in their federal price-transparency files. For CPT 43235, hospital outpatient, the median across 8 hospitals is $2,829, 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.