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

Posted commercial rates at 9 New York hospitals, each next to its own Medicare base rate.

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CPT 43239

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$1,4561.3×92026-04-01
Elmhurst Hospital Center Elmhurst$1,7661.6×72026-09-05
South Brooklyn Health Brooklyn$1,7681.6×72026-09-05
Jacobi Medical Center Bronx$1,7711.6×72026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$1,7731.6×72026-09-05
Jamaica Hospital Medical Center Jamaica$3,3332.9×52026-03-25
Maimonides Medical Center Brooklyn$4,1133.6×52026-04-01
Stony Brook University Hospital Stony Brook$4,4113.9×52026-06-10
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$7,3346.5×72026-01-01

Questions

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

9 New York 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 9 hospitals is $1,773, 1.6× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.