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

Posted commercial rates at 5 Virginia hospitals, each next to its own Medicare base rate.

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CPT 43235

HospitalMedian across insurers× MedicareInsurersFile date
Inova Alexandria Hospital Alexandria$2,4862.6×52026-04-01
Reston Hospital Center Reston$2,7162.9×42026-09-01
Stonesprings Hospital Center Dulles$2,7162.9×42026-09-01
CJW Medical Center (Chippenham + Johnston-Willis) Richmond$3,5344.0×42026-09-01
Henrico Doctors' Hospital Richmond$3,5344.0×42026-09-01

Questions

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

5 Virginia hospitals post usable commercial rates for upper endoscopy (egd), diagnostic in their federal price-transparency files. For CPT 43235, hospital outpatient, the median across 5 hospitals is $2,716, 2.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.