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Upper endoscopy (EGD) with biopsy in District of Columbia: what insurers pay

Posted commercial rates at 3 District of Columbia hospitals, each next to its own Medicare base rate.

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CPT 43239

HospitalMedian across insurers× MedicareInsurersFile date
Medstar Georgetown University Hospital Washington$2,4112.3×12026-04-01
Medstar Washington Hospital Center Washington$2,7362.5×12026-04-01
George Washington Univ Hospital Washington$2,9782.8×32026-09-01

Questions

How much do insurers pay for upper endoscopy (egd) with biopsy in District of Columbia?

3 District of Columbia hospitals post usable commercial rates for upper endoscopy (egd) with biopsy in their federal price-transparency files. For CPT 43239, hospital outpatient, the median across 3 hospitals is $2,736, 2.5× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.