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

Posted commercial rates at 13 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
University of Illinois Hospital and Clinics Chicago$1,3561.4×12026-04-01
Endeavor Health Northwest Community Hospital Arlington Heights$1,5201.6×32026-04-01
Alton Memorial Hospital Alton$1,9252.0×52025-12-15
Endeavor Health Edward Hospital Naperville$2,0892.1×22026-04-01
Endeavor Health Evanston Hospital Evanston$2,5502.6×32026-04-01
Loyola University Medical Center Maywood$2,7342.8×22026-03-31
Endeavor Health Elmhurst Hospital Elmhurst$2,8582.9×22026-04-01
Northwestern Memorial Hospital Chicago$3,3063.4×12026-04-01
Advocate Christ Medical Center Oak Lawn$3,6223.7×12025-11-04
Advocate Lutheran General Hospital Park Ridge$3,6223.7×12025-11-04
Rush University Medical Center Chicago$3,8103.9×22026-09-25
University of Chicago Medical Center Chicago$4,1954.3×22026-04-01

Questions

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

13 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 13 hospitals is $2,734, 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.