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Upper endoscopy (EGD) with biopsy in Hawaii: what insurers pay

Posted commercial rates at 8 Hawaii hospitals, each next to its own Medicare base rate.

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CPT 43239

HospitalMedian across insurers× MedicareInsurersFile date
Pali Momi Medical Center Aiea$1,2791.2×22026-02-12
Molokai General Hospital Kaunakakai$1,8981.8×32026-02-16
Kona Community Hospital Kealakekua$2,9302.7×22026-06-15
Kauai Veterans Memorial Hospital Waimea$2,9302.7×22026-06-15
North Hawaii Community Hospital, Inc Kamuela$3,0352.8×62026-03-09
Kohala Hospital Kapaau$3,3803.2×22026-06-15
Wilcox Memorial Hospital Lihue$3,4833.3×82026-02-12
Straub Clinic And Hospital Honolulu$3,6963.5×112026-02-12

Questions

How much do insurers pay for upper endoscopy (egd) with biopsy in Hawaii?

8 Hawaii 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 8 hospitals is $2,983, 2.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.