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Upper endoscopy (EGD) with biopsy: what insurers pay

Scope of the esophagus, stomach and duodenum with biopsy. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

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CPT 43239: Egd Biopsy Single/Multiple

285 hospitals in 38 markets. National Medicare rate $927, surgery center $498.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA10$3,533$3,774$3,788$3,437–$3,792
Austin TX13$862$3,598$3,598$862–$3,992
Boston MA13$1,268$1,460$1,630$844–$2,003
California (statewide)1———$7,139–$7,139
Charlotte NC1———$5,050–$5,050
Chicago IL11$2,320$2,858$3,622$1,356–$4,195
Cleveland OH10$2,958$3,493$3,642$2,068–$3,920
Columbus OH1———$6,902–$6,902
Dallas-Fort Worth TX14$2,850$3,016$3,592$2,756–$4,309
Denver CO15$1,702$3,120$3,548$1,628–$4,667
Detroit MI17$998$1,131$1,271$546–$2,782
Georgia (statewide)1———$4,221–$4,221
Houston TX16$2,500$2,650$2,989$1,596–$3,578
Illinois (statewide)1———$793–$793
Kansas (statewide)1———$2,654–$2,654
Las Vegas NV1———$2,060–$2,060
Los Angeles CA16$2,730$3,257$3,391$1,378–$6,066
Miami-Fort Lauderdale FL2———$1,914–$2,094
Minneapolis-St. Paul MN10$1,889$2,072$2,252$1,480–$2,276
Nashville TN8$1,328$2,144$2,788$970–$2,895
New York (statewide)1———$4,411–$4,411
New York City8$1,768$1,772$3,528$1,456–$7,334
Ohio (statewide)1———$2,270–$2,270
Philadelphia PA11$3,114$3,598$4,385$2,568–$8,155
Phoenix AZ8$2,658$2,678$2,706$2,600–$2,788
Pittsburgh PA12$2,257$2,494$2,779$1,632–$4,387
Portland OR8$5,048$6,042$6,042$5,048–$6,042
Richmond VA3———$4,146–$4,146
Rio Grande Valley TX6$1,209$1,980$2,883$1,022–$3,154
Salt Lake City UT9$1,930$1,930$1,930$1,787–$1,930
San Antonio TX3———$1,804–$2,592
San Diego CA6$1,167$1,167$1,420$1,167–$2,488
San Francisco Bay Area CA5$5,460$6,193$8,960$3,646–$8,960
Seattle-Tacoma WA14$3,282$3,292$3,387$2,556–$3,956
St. Louis MO10$1,806$1,925$1,925$1,349–$3,050
Tampa FL6$978$978$2,115$978–$4,360
Washington DC11$2,516$2,563$2,994$2,411–$3,273
Wisconsin (statewide)1———$2,183–$2,183
HospitalMarketMedian across insurers× MedicareInsurersFile date
Henry Ford Health -St John HospitalDetroit MI$5460.6×22026-01-01
Sarah Bush Lincoln Health CenterIllinois (statewide)$7930.8×12026-06-03
South Shore HospitalBoston MA$8440.8×22026-04-01
Dell Seton Med Center At The University Of TxAustin TX$8620.9×22026-01-01
Ascension Seton SouthwestAustin TX$8620.9×22026-01-01
Ascension Seton NorthwestAustin TX$8620.9×22026-01-01
Cedar Park Regional Medical CenterAustin TX$8620.9×22026-01-01
Ascension Seton HaysAustin TX$8620.9×22026-01-01
Trinity Health Oakland HospitalDetroit MI$8761.0×162026-03-31
Ascension Seton Medical Center AustinAustin TX$9091.0×32026-01-01
Mclaren Port HuronDetroit MI$9571.1×12025-12-31
Vanderbilt University Medical CenterNashville TN$9701.1×82025-10-01
Vanderbilt Wilson County HospitalNashville TN$9701.1×82025-10-01
Henry Ford Health Rochester HospitalDetroit MI$9761.1×22026-01-01
Morton Plant HospitalTampa FL$9781.0×12026-01-01
Mease Dunedin HospitalTampa FL$9781.0×12026-01-01
South Florida Baptist HospitalTampa FL$9781.0×12026-01-01
Mease Countryside HospitalTampa FL$9781.0×12026-01-01
Trinity Health Livonia HospitalDetroit MI$9981.1×152026-03-31
Knapp Medical CenterRio Grande Valley TX$1,0221.1×12026-09-01
Mclaren Lapeer RegionDetroit MI$1,1021.2×12025-12-31
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$1,1311.3×12026-05-01
Corewell Health William Beaumont University HospitDetroit MI$1,1311.3×12026-05-01
Corewell Health Beaumont Troy HospitalDetroit MI$1,1311.3×12026-05-01
Corewell Health Wayne HospitalDetroit MI$1,1311.3×12026-05-01
Corewell Health Farmington Hills HospitalDetroit MI$1,1311.3×12026-05-01
Corewell Health Trenton HospitalDetroit MI$1,1311.3×12026-05-01
Emerson Hospital -Boston MA$1,1321.0×32026-05-18
Harlingen Medical CenterRio Grande Valley TX$1,1421.3×42026-09-01
Scripps Green HospitalSan Diego CA$1,1671.0×12026-03-30
Scripps Mercy HospitalSan Diego CA$1,1671.0×12026-03-30
Scripps Memorial Hospital La JollaSan Diego CA$1,1671.0×12026-03-30
Scripps Memorial Hospital - EncinitasSan Diego CA$1,1671.0×12026-03-30
Anna Jaques HospitalBoston MA$1,2571.2×52026-04-01
Beth Israel Deaconess Hospital - NeedhamBoston MA$1,2681.2×32026-04-01
Henry Ford Health HospitalDetroit MI$1,2711.4×22026-06-28
Mount Auburn HospitalBoston MA$1,3421.2×22026-04-01
Mercy Hospital SouthSt. Louis MO$1,3491.5×12026-06-10
University of Illinois Hospital and ClinicsChicago IL$1,3561.4×12026-04-01
Trinity Health Livingston HospitalDetroit MI$1,3781.5×152026-03-31
Santa Monica - Ucla Med Ctr & Orthopaedic HospitalLos Angeles CA$1,3781.2×12026-03-29
Mission Regional Medical CenterRio Grande Valley TX$1,4091.6×22026-09-01
Henry Ford Health Macomb HospitalDetroit MI$1,4101.6×32026-06-28
Ascension Saint Thomas RutherfordNashville TN$1,4471.7×22026-01-01
Beth Israel Deaconess Medical CenterBoston MA$1,4481.3×32026-04-01
Montefiore Medical CenterNew York City$1,4561.3×92026-04-01
Beth Israel Deaconess Hospital - PlymouthBoston MA$1,4601.3×32026-04-01
Usc Arcadia HospitalLos Angeles CA$1,4801.3×42026-07-27
Regions HospitalMinneapolis-St. Paul MN$1,4801.6×42026-03-31
Winchester HospitalBoston MA$1,4821.4×42026-04-01
Park Nicollet Methodist HospitalMinneapolis-St. Paul MN$1,4911.6×42026-03-31
Tri-City Medical CenterSan Diego CA$1,5051.3×42026-05-29
Endeavor Health Northwest Community HospitalChicago IL$1,5201.6×32026-04-01
Ascension Saint Thomas Hospital (Midtown + West)Nashville TN$1,5351.8×32026-01-01
Lahey Hospital & Medical Center, BurlingtonBoston MA$1,5761.4×32026-04-01
St. Luke's Health The Woodlands HospitalHouston TX$1,5961.8×72026-02-28
St. Luke's Health Sugar Land HospitalHouston TX$1,5961.8×72026-02-28
Adventhealth PorterDenver CO$1,6281.7×42026-04-01
Adventhealth ParkerDenver CO$1,6281.7×42026-04-01
Adventhealth LittletonDenver CO$1,6281.7×42026-04-01
Adventhealth Castle RockDenver CO$1,6281.7×42026-04-01
New England Baptist HospitalBoston MA$1,6301.5×42026-04-01
Upmc WashingtonPittsburgh PA$1,6321.9×22026-03-06
Baylor St. Luke's Medical CenterHouston TX$1,6941.9×72026-02-28
Mercy Hospital St LouisSt. Louis MO$1,7151.9×12026-06-04
Ucla West Valley Medical CenterLos Angeles CA$1,7151.5×12026-03-29
Lowell General HospitalBoston MA$1,7451.6×52026-04-01
Mercy Hospital WashingtonSt. Louis MO$1,7661.9×12026-06-10
Elmhurst Hospital CenterNew York City$1,7661.6×72026-09-05
South Brooklyn HealthNew York City$1,7681.6×72026-09-05
Jacobi Medical CenterNew York City$1,7711.6×72026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTERNew York City$1,7731.6×72026-09-05
UCHealth University of Colorado HospitalDenver CO$1,7761.9×32025-11-01
Mckay-Dee HospitalSalt Lake City UT$1,7871.9×12026-08-05
University Health SystemSan Antonio TX$1,8042.0×42025-10-14
Beverly Hospital CorporationBoston MA$1,8451.7×52026-04-01
Hennepin County Medical CenterMinneapolis-St. Paul MN$1,8812.0×32025-12-17
Lakeview Memorial HospitalMinneapolis-St. Paul MN$1,9132.0×42026-03-31
Mount Sinai Medical Center Of Florida, IncMiami-Fort Lauderdale FL$1,9142.0×52026-03-13
Upmc MercyPittsburgh PA$1,9222.2×12026-03-06
Missouri Baptist Medical CenterSt. Louis MO$1,9252.1×52025-12-15
Barnes-Jewish West County HospitalSt. Louis MO$1,9252.1×52025-12-15
Barnes-Jewish St Peters HospitalSt. Louis MO$1,9252.1×52025-12-15
Alton Memorial HospitalSt. Louis MO$1,9252.0×52025-12-15
Progress West HospitalSt. Louis MO$1,9252.1×52025-12-15
Intermountain Health Utah Valley HospitalSalt Lake City UT$1,9302.1×12026-08-05
Lds HospitalSalt Lake City UT$1,9302.1×12026-08-05
Intermountain Medical CenterSalt Lake City UT$1,9302.1×12026-08-05
American Fork HospitalSalt Lake City UT$1,9302.1×12026-08-05
Orem Community HospitalSalt Lake City UT$1,9302.1×12026-08-05
Intermountain Health Alta View HospitalSalt Lake City UT$1,9302.1×12026-08-05
Intermountain Health Layton HospitalSalt Lake City UT$1,9302.1×12026-08-05
Intermountain Health Spanish Fork HospitalSalt Lake City UT$1,9302.1×12026-08-05
North Memorial HealthMinneapolis-St. Paul MN$1,9732.1×62026-09-25
Tufts Medical CenterBoston MA$2,0031.8×32026-04-01
Chi St Luke's Health BrazosportHouston TX$2,0502.3×52026-02-28
University Medical Center of Southern NevadaLas Vegas NV$2,0602.1×72026-07-01
University Hospitals St. John Medical CenterCleveland OH$2,0682.4×42026-07-14
Endeavor Health Edward HospitalChicago IL$2,0892.1×22026-04-01
Cleveland Clinic HospitalMiami-Fort Lauderdale FL$2,0942.2×32026-06-15
M Health Fairview Southdale HospitalMinneapolis-St. Paul MN$2,1712.3×42026-02-06
Orthopaedic Hospital Of WisconsinWisconsin (statewide)$2,1832.4×32026-01-01
Jefferson HospitalPittsburgh PA$2,1972.5×52026-04-14
M Health Fairview Ridges HospitalMinneapolis-St. Paul MN$2,2182.3×42026-02-06
Memorialcare Long Beach Medical CenterLos Angeles CA$2,2501.9×52026-04-01
M Health Fairview Lakes Medical CenterMinneapolis-St. Paul MN$2,2642.4×42026-02-05
M Health Fairview Northland Medical CenterMinneapolis-St. Paul MN$2,2642.4×42026-01-29
Bethesda NorthOhio (statewide)$2,2702.6×42026-04-01
M Health Fairview University of Minnesota Medical CenterMinneapolis-St. Paul MN$2,2762.4×42026-02-06
Allegheny Valley HospitalPittsburgh PA$2,2772.6×52026-04-14
Upmc PassavantPittsburgh PA$2,3922.7×12026-03-07
Medstar Georgetown University HospitalWashington DC$2,4112.3×12026-04-01
Mercy Hospital JeffersonSt. Louis MO$2,4232.7×12026-06-10
Inova Alexandria HospitalWashington DC$2,4862.6×52026-04-01
Uc San Diego Health Hillcrest - Hillcrest Med CtrSan Diego CA$2,4882.1×42026-04-01
Tampa General HospitalTampa FL$2,4942.6×32026-04-01
Upmc St MargaretPittsburgh PA$2,4942.8×12026-03-06
Upmc EastPittsburgh PA$2,4942.8×12026-03-06
Inova Mount Vernon HospitalWashington DC$2,5072.7×52026-04-01
University Hospitals - Elyria Medical CenterCleveland OH$2,5252.9×32026-07-14
Inova Loudoun HospitalWashington DC$2,5252.7×52026-04-01
Inova Fair Oaks HospitalWashington DC$2,5362.7×52026-04-01
Endeavor Health Evanston HospitalChicago IL$2,5502.6×32026-04-01
Doctors Hospital at RenaissanceRio Grande Valley TX$2,5522.8×22026-04-01
Swedish Edmonds HospitalSeattle-Tacoma WA$2,5562.5×52026-04-01
Inova Fairfax HospitalWashington DC$2,5632.7×52026-04-01
Jefferson Einstein Montgomery HospitalPhiladelphia PA$2,5682.9×52026-09-15
Forbes HospitalPittsburgh PA$2,5712.9×52026-04-14
Methodist HospitalSan Antonio TX$2,5922.9×52026-09-01
Methodist Hospital Stone OakSan Antonio TX$2,5922.9×52026-09-01
Chandler Regional Medical Center (Dignity)Phoenix AZ$2,6002.7×22026-02-28
Mercy Gilbert Medical Center (Dignity)Phoenix AZ$2,6002.7×22026-02-28
Hca Houston Healthcare SoutheastHouston TX$2,6502.9×52026-09-01
Hca Houston Healthcare ConroeHouston TX$2,6502.9×52026-09-01
Hca Houston Healthcare Clear LakeHouston TX$2,6502.9×52026-09-01
Hca Houston Healthcare NorthwestHouston TX$2,6502.9×52026-09-01
Hca Houston Healthcare Medical CenterHouston TX$2,6502.9×52026-09-01
Hca Houston Healthcare TomballHouston TX$2,6502.9×52026-09-01
Hca Houston Healthcare KingwoodHouston TX$2,6502.9×52026-09-01
Menorah Medical CenterKansas (statewide)$2,6543.1×52026-09-01
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$2,6782.8×52026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$2,6782.8×52026-04-01
HonorHealth John C. Lincoln Medical CenterPhoenix AZ$2,6782.8×52026-04-01
HonorHealth Deer Valley Medical CenterPhoenix AZ$2,6782.8×52026-04-01
Jefferson Abington HospitalPhiladelphia PA$2,7043.1×52026-09-15
Loyola University Medical CenterChicago IL$2,7342.8×22026-03-31
Medstar Washington Hospital CenterWashington DC$2,7362.5×12026-04-01
Ahn Wexford HospitalPittsburgh PA$2,7423.1×52026-04-14
TriStar Skyline Medical CenterNashville TN$2,7533.2×52026-09-01
TriStar Summit Medical CenterNashville TN$2,7533.2×52026-09-01
Medical City WeatherfordDallas-Fort Worth TX$2,7563.0×52026-09-01
Overlake Hospital Medical CenterSeattle-Tacoma WA$2,7702.6×52026-04-01
Huron Valley-Sinai HospitalDetroit MI$2,7753.1×22026-05-20
Harper University HospitalDetroit MI$2,7823.1×22026-09-02
MetroHealth SystemCleveland OH$2,7853.3×42026-04-01
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$2,7882.9×42026-04-01
HonorHealth Sonoran Crossing Medical CenterPhoenix AZ$2,7882.9×42026-04-01
Temple University HospitalPhiladelphia PA$2,8213.0×62026-04-13
Baylor University Medical CenterDallas-Fort Worth TX$2,8503.1×32026-06-29
Baylor Scott And White Medical Center UptownDallas-Fort Worth TX$2,8503.1×32026-06-29
Baylor Scott & White Medical Center - GrapevineDallas-Fort Worth TX$2,8503.1×32026-06-29
Baylor Scott & White Medical Center - Lake PointeDallas-Fort Worth TX$2,8503.1×32026-06-29
Baylor Scott & White Medical Center - McKinneyDallas-Fort Worth TX$2,8503.1×32026-06-29
Endeavor Health Elmhurst HospitalChicago IL$2,8582.9×22026-04-01
Memorialcare Orange Coast Medical CenterLos Angeles CA$2,8902.5×52026-04-01
Magee Womens Hospital Of Upmc Health SystemPittsburgh PA$2,8903.3×12026-03-06
TriStar StoneCrest Medical CenterNashville TN$2,8953.3×52026-09-01
TriStar Hendersonville Medical CenterNashville TN$2,8953.3×52026-09-01
George Washington Univ HospitalWashington DC$2,9782.8×32026-09-01
Houston Methodist Baytown HospitalHouston TX$2,9893.3×62026-04-01
Houston Methodist Sugar Land HospitalHouston TX$2,9893.3×62026-04-01
Houston Methodist West HospitalHouston TX$2,9893.3×62026-04-01
Houston Methodist The Woodlands HospitalHouston TX$2,9893.3×62026-04-01
Allegheny General HospitalPittsburgh PA$2,9933.4×52026-04-14
Rio Grande Regional HospitalRio Grande Valley TX$2,9933.3×52026-09-01
HCA HealthONE SwedishDenver CO$2,9943.1×42026-09-01
Reston Hospital CenterWashington DC$3,0103.2×42026-09-01
Stonesprings Hospital CenterWashington DC$3,0103.2×42026-09-01
Medical City PlanoDallas-Fort Worth TX$3,0163.3×52026-09-01
Medical City Fort WorthDallas-Fort Worth TX$3,0163.3×52026-09-01
Medical City DentonDallas-Fort Worth TX$3,0183.3×52026-09-01
Providence Cedars Sinai Tarzana Medical CenterLos Angeles CA$3,0382.6×42026-04-01
Barnes Jewish HospitalSt. Louis MO$3,0503.4×52025-12-15
Providence Saint Joseph Medical CtrLos Angeles CA$3,0532.6×42026-04-01
Uchealth Highlands Ranch HospitalDenver CO$3,0803.2×42025-11-01
HCA HealthONE Presbyterian/St. Luke'sDenver CO$3,1203.3×42026-09-01
HCA HealthONE Sky RidgeDenver CO$3,1223.3×42026-09-01
Valley Regional Medical CenterRio Grande Valley TX$3,1543.5×52026-09-01
Swedish IssaquahSeattle-Tacoma WA$3,1843.0×42026-04-01
Hca Healthone RoseDenver CO$3,2273.4×42026-09-01
Usc Verdugo Hills HospitalLos Angeles CA$3,2362.8×42026-04-01
Spotsylvania Regional Medical CenterWashington DC$3,2733.5×32026-09-01
Providence Holy Cross Medical CenterLos Angeles CA$3,2782.8×52026-04-01
St Clare HospitalSeattle-Tacoma WA$3,2823.1×62026-02-28
St Anthony HospitalSeattle-Tacoma WA$3,2823.1×62026-02-28
St Joseph Medical CenterSeattle-Tacoma WA$3,2823.1×62026-02-28
St Francis Community HospitalSeattle-Tacoma WA$3,2823.1×62026-02-28
Swedish Medical CenterSeattle-Tacoma WA$3,3033.1×52026-04-01
Swedish Medical Center / Cherry HillSeattle-Tacoma WA$3,3043.1×52026-04-01
Northwestern Memorial HospitalChicago IL$3,3063.4×12026-04-01
Jamaica Hospital Medical CenterNew York City$3,3332.9×52026-03-25
Providence Little Co Of Mary Med Ctr San PedroLos Angeles CA$3,3522.9×42026-04-01
Providence Little Company Of Mary Med Ctr TorranceLos Angeles CA$3,3602.9×42026-04-01
Providence Mission HospitalLos Angeles CA$3,3662.9×52026-04-01
Tacoma General Allenmore HospitalSeattle-Tacoma WA$3,3873.2×72026-08-27
Multicare Auburn Medical CenterSeattle-Tacoma WA$3,3873.2×72026-08-27
Multicare Covington Medical CenterSeattle-Tacoma WA$3,3873.2×72026-08-27
Jefferson Health-NortheastPhiladelphia PA$3,4063.6×52026-09-15
Wellstar Kennestone HospitalAtlanta GA$3,4373.7×52026-04-01
Wellstar North Fulton HospitalAtlanta GA$3,4373.8×52026-04-01
Piedmont Newnan HospitalAtlanta GA$3,4533.8×62026-07-01
Riddle Memorial HospitalPhiladelphia PA$3,4533.7×22026-04-01
Providence St. Jude Medical CenterLos Angeles CA$3,4653.0×52026-04-01
University Hospitals Ahuja Medical CenterCleveland OH$3,4764.0×12026-07-14
Medina HospitalCleveland OH$3,4844.1×42026-06-15
Denver Health Medical CenterDenver CO$3,4893.6×42026-04-30
Cleveland Clinic Lutheran HospitalCleveland OH$3,5024.1×32026-06-15
Medical City MckinneyDallas-Fort Worth TX$3,5223.9×52026-09-01
Houston Methodist HospitalHouston TX$3,5783.9×62026-04-01
St David's Medical CenterAustin TX$3,5984.0×52026-09-01
St David's South Austin Medical CenterAustin TX$3,5984.0×52026-09-01
Round Rock Medical CenterAustin TX$3,5984.0×52026-09-01
North Austin Medical CenterAustin TX$3,5984.0×52026-09-01
Paoli HospitalPhiladelphia PA$3,5984.1×22026-04-01
Multicare Good Samaritan HospitalSeattle-Tacoma WA$3,6043.4×62026-08-27
Uchealth Broomfield HospitalDenver CO$3,6063.8×42025-11-01
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$3,6164.0×22026-04-21
Texas Health Presbyterian Hospital PlanoDallas-Fort Worth TX$3,6164.0×22026-04-21
Advocate Christ Medical CenterChicago IL$3,6223.7×12025-11-04
Advocate Lutheran General HospitalChicago IL$3,6223.7×12025-11-04
Bryn Mawr HospitalPhiladelphia PA$3,6403.9×22026-04-01
Cleveland Clinic Hillcrest HospitalCleveland OH$3,6424.2×32026-06-15
Cleveland Clinic Fairview HospitalCleveland OH$3,6424.2×32026-06-15
St Mary's Medical CenterSan Francisco Bay Area CA$3,6462.8×42026-04-01
Lankenau Medical CenterPhiladelphia PA$3,6804.2×22026-04-01
Cleveland Clinic (main campus)Cleveland OH$3,7624.4×42026-06-16
Emory University HospitalAtlanta GA$3,7744.2×62026-04-01
Emory University Hospital MidtownAtlanta GA$3,7744.2×62026-04-01
Emory Saint Joseph's HospitalAtlanta GA$3,7744.2×62026-04-01
Emory Johns Creek HospitalAtlanta GA$3,7744.2×62026-04-01
Piedmont Atlanta HospitalAtlanta GA$3,7924.2×62026-07-01
Piedmont Fayette HospitalAtlanta GA$3,7924.2×62026-07-01
Piedmont Henry HospitalAtlanta GA$3,7924.2×62026-07-01
Rush University Medical CenterChicago IL$3,8103.9×22026-09-25
Providence St. Joseph HospitalLos Angeles CA$3,8453.3×52026-04-01
Keck Hospital Of UscLos Angeles CA$3,8633.3×52026-04-01
Marymount HospitalCleveland OH$3,9204.6×22026-06-15
St Anne HospitalSeattle-Tacoma WA$3,9563.8×52026-02-28
Scott & White Hospital-Round RockAustin TX$3,9924.4×42026-06-13
Baylor Scott & White Medical Center ? PflugervilleAustin TX$3,9924.4×42026-06-13
Baylor Scott & White Medical Center- AustinAustin TX$3,9924.4×42026-06-13
Maimonides Medical CenterNew York City$4,1133.6×52026-04-01
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$4,1464.7×42026-09-01
Henrico Doctors' HospitalRichmond VA$4,1464.7×42026-09-01
Tricities HospitalRichmond VA$4,1464.7×42026-09-01
UT Southwestern William P. Clements Jr. University HospitalDallas-Fort Worth TX$4,1644.6×22026-03-10
University of Chicago Medical CenterChicago IL$4,1954.3×22026-04-01
Emory Houston Hospital Warner RobinsGeorgia (statewide)$4,2215.3×32026-04-01
Medical City DallasDallas-Fort Worth TX$4,3094.7×52026-09-01
Tampa General Hospital BrooksvilleTampa FL$4,3604.6×22026-04-01
Upmc Presbyterian ShadysidePittsburgh PA$4,3875.0×12026-03-06
Stony Brook University HospitalNew York (statewide)$4,4113.9×52026-06-10
Lutheran Medical CenterDenver CO$4,6004.8×62026-03-22
Intermountain Health Saint Joseph HospitalDenver CO$4,6004.8×62026-03-22
Intermountain Health Platte Valley HospitalDenver CO$4,6674.9×32026-03-22
Providence St Vincent Medical CenterPortland OR$5,0485.0×22026-04-01
Providence Portland Medical CenterPortland OR$5,0485.0×22026-04-01
Providence Milwaukie HospitalPortland OR$5,0485.0×22026-04-01
Lake Norman Regional Medical CenterCharlotte NC$5,0505.7×22026-04-01
Thomas Jefferson University HospitalPhiladelphia PA$5,0905.5×42026-09-15
Stanford Health Care Tri-ValleySan Francisco Bay Area CA$5,4604.3×42026-04-01
Jefferson Stratford HospitalPhiladelphia PA$6,0215.9×32026-09-15
Legacy Emanuel Medical CenterPortland OR$6,0426.0×52026-04-01
Legacy Good Samaritan Medical CenterPortland OR$6,0426.0×52026-04-01
Legacy Mount Hood Medical CenterPortland OR$6,0426.0×52026-04-01
Legacy Meridian Park Medical CenterPortland OR$6,0426.0×52026-04-01
Legacy Salmon Creek Medical CenterPortland OR$6,0426.0×52026-04-01
Hoag Memorial Hospital PresbyterianLos Angeles CA$6,0665.2×32026-04-01
Good Samaritan HospitalSan Francisco Bay Area CA$6,1934.6×62026-09-01
Mount Carmel EastColumbus OH$6,9027.9×192026-03-31
Los Robles Hospital & Medical CenterCalifornia (statewide)$7,1396.1×42026-09-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$7,3346.5×72026-01-01
Inspira Medical Center Mullica HillPhiladelphia PA$8,1558.0×12026-03-24
John Muir Medical Center - Walnut Creek CampusSan Francisco Bay Area CA$8,9607.0×22026-03-23
John Muir Medical Center - Concord CampusSan Francisco Bay Area CA$8,9607.0×22026-03-23

Questions

How much do commercial insurers pay hospitals for upper endoscopy (egd) with biopsy?

Across 285 hospitals in 38 metro areas that post a usable dollar rate, the median commercial rate for CPT 43239, hospital outpatient is $2,678, 2.9× the same hospital's local Medicare base rate. The middle half of hospitals runs $1,773 to $3,476. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for upper endoscopy (egd) with biopsy?

Medicare's national hospital outpatient rate for CPT 43239 is $927 and its surgery-center rate is $498, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for upper endoscopy (egd) with biopsy?

Lowest medians: Henry Ford Health -St John Hospital ($546), Sarah Bush Lincoln Health Center ($793), South Shore Hospital ($844). Highest: John Muir Medical Center - Concord Campus ($8,960), John Muir Medical Center - Walnut Creek Campus ($8,960), Inspira Medical Center Mullica Hill ($8,155). Coverage is limited to the markets listed on this page.