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

Posted commercial rates at 50 Illinois hospitals, each next to its own Medicare base rate.

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CPT 43239

HospitalMedian across insurers× MedicareInsurersFile date
Sarah Bush Lincoln Health Center Mattoon$7930.8×12026-06-03
Rush Oak Park Hospital Oak Park$8860.9×52026-09-26
Northwestern Lake Forest Hospital Lake Forest$1,0681.1×12026-04-01
Roseland Community Hospital Chicago$1,2101.2×52026-07-01
Alexian Brothers Medical Center 1 Elk Grove Village$1,2951.3×42026-01-01
Saint Francis Hospital-Evanston Evanston$1,3061.3×92026-09-01
Northwestern Medicine Delnor Community Hospital Geneva$1,3181.4×22026-04-01
Presence Saint Joseph Hospital - Chicago Chicago$1,3441.4×42026-01-01
Trinity Rock Island Rock Island$1,3621.4×52026-01-28
Decatur Memorial Hospital Decatur$1,3761.4×72026-09-17
Mt Sinai Hospital Medical Center Chicago$1,3871.4×112026-09-22
Uchicago Medicine Adventhealth Hinsdale Hinsdale$1,4231.5×52026-04-01
Holy Cross Hospital Chicago$1,4301.5×122026-09-22
Swedish Hospital Chicago$1,4581.5×32026-04-01
St Alexius Medical Center Hoffman Estates$1,5051.6×12026-01-01
John H Stroger Jr Hospital Chicago$1,5061.6×12026-04-01
Endeavor Health Northwest Community Hospital Arlington Heights$1,5201.6×32026-04-01
Deaconess Illinois Medical Center Marion$1,6131.7×52026-02-03
Hammond Henry Hospital Geneseo$1,7861.8×22026-01-22
Loyola Gottlieb Memorial Hospital Melrose Park$1,8891.9×32026-03-31
Alton Memorial Hospital Alton$1,9202.0×72025-12-15
Endeavor Health Edward Hospital Naperville$2,0892.1×22026-04-01
Northwestern Medicine Mchenry Hospital McHenry$2,1372.2×12026-04-01
Uchicago Medicine Adventhealth La Grange La Grange$2,1882.3×42026-04-01
Uchicago Medicine Adventhealth Glenoaks Glendale Heights$2,1882.3×42026-04-01
Uchicago Medicine Adventhealth Bolingbrook Bolingbrook$2,1882.3×42026-04-01
Carle Health Proctor Hospital Peoria$2,2282.3×12026-04-15
Carle Health Pekin Hospital Pekin$2,2282.3×12026-04-15
Carle Health Methodist Hospital Peoria$2,2282.3×12026-04-15
Insight Hospital And Medical Center Chicago Chicago$2,2402.3×12026-06-25
West Suburban Medical Center Oak Park$2,2562.3×52025-03-17
Endeavor Health Evanston Hospital Evanston$2,5502.6×32026-04-01
Ingalls Memorial Hospital Harvey$2,6302.7×52026-04-01
Loyola University Medical Center Maywood$2,7342.8×22026-03-31
Deaconess Illinois Crossroads Mount Vernon$2,7852.9×32026-02-03
Endeavor Health Elmhurst Hospital Elmhurst$2,8582.9×22026-04-01
University of Illinois Hospital and Clinics Chicago$3,2473.3×22026-04-01
Northwestern Memorial Hospital Chicago$3,3063.4×12026-04-01
Morrison Community Hospital Morrison$3,3713.5×32026-03-13
Advocate Trinity Hospital Chicago$3,6223.7×12025-11-04
Advocate Illinois Masonic Medical Center Chicago$3,6223.7×12025-11-04
Advocate Christ Medical Center Oak Lawn$3,6223.7×12025-11-04
Advocate Lutheran General Hospital Park Ridge$3,6223.7×12025-11-04
Advocate Good Samaritan Hospital Downers Grove$3,6223.7×12025-11-04
Advocate Good Shepherd Hospital Barrington$3,6223.7×12025-11-04
Advocate Sherman Hospital Elgin$3,7283.8×12025-11-04
Advocate Condell Medical Center Libertyville$3,7753.9×12025-11-04
Rush University Medical Center Chicago$3,8103.9×22026-09-25
University of Chicago Medical Center Chicago$4,1954.3×22026-04-01
St Marys Hospital Decatur$4,6224.8×22025-01-01

Questions

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

50 Illinois 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 50 hospitals is $2,188, 2.3× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.