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

Posted commercial rates at 18 Idaho hospitals, each next to its own Medicare base rate.

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CPT 43239

HospitalMedian across insurers× MedicareInsurersFile date
Teton Valley Hospital Driggs$7770.9×12026-07-21
North Canyon Medical Center Gooding$7810.9×82026-04-13
St Joseph Regional Medical Center Lewiston$8260.9×12026-04-01
Saint Alphonsus Regional Medical Center Boise$8260.9×12026-03-31
Syringa General Hospital Grangeville$1,0091.1×12026-08-21
St Luke'S Nampa Medical Center Nampa$1,0601.2×72026-03-25
St Luke'S Jerome Jerome$1,0601.2×82026-03-25
St Luke'S Elmore Medical Center Mountain Home$1,0601.2×82026-03-25
Treasure Valley Hospital Boise$1,1791.3×32026-09-02
Northwest Specialty Hospital Post Falls$1,3061.4×52026-03-05
Mountain View Hospital Idaho Falls$1,6241.8×22026-03-16
Saint Alphonsus Medical Center - Nampa Nampa$1,7601.9×52026-03-31
Intermountain Health Cassia Regional Hospital Burley$1,9302.1×72026-08-05
Kootenai Health Coeur D'Alene$1,9942.2×32026-03-27
Idaho Falls Community Hospital, Llc Idaho Falls$2,0162.3×32026-03-16
Steele Memorial Medical Center Salmon$2,2442.5×22026-02-26
West Valley Medical Center Caldwell$2,3482.6×32026-09-01
St Luke'S Regional Medical Center Boise$2,7473.0×32026-03-25

Questions

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

18 Idaho 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 18 hospitals is $1,243, 1.4× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.