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

Posted commercial rates at 47 New York hospitals, each next to its own Medicare base rate.

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CPT 43239

HospitalMedian across insurers× MedicareInsurersFile date
St Charles Hospital Port Jefferson$8420.7×92026-04-01
Arnot Ogden Medical Center Elmira$8770.8×12026-03-27
Elizabethtown Community Hospital Elizabethtown$8810.8×12026-04-28
Strong Memorial Hospital Rochester$1,0080.9×72026-07-01
Oneida Health Oneida$1,3401.2×102026-09-27
Niagara Falls Memorial Medical Center Niagara Falls$1,3581.2×42026-06-17
Montefiore Medical Center Bronx$1,4561.3×162026-04-01
Nassau University Medical Center East Meadow$1,6221.4×52025-10-28
St Joseph'S Medical Center Yonkers$1,6581.5×22026-07-13
Bronxcare Hospital Center Bronx$1,6621.5×62026-05-05
Harlem Hospital Center New York$1,6901.5×92026-09-05
Elmhurst Hospital Center Elmhurst$1,7591.6×92026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$1,7661.6×92026-09-05
Jacobi Medical Center Bronx$1,7661.6×92026-09-05
South Brooklyn Health Brooklyn$1,7661.6×92026-09-05
Metropolitan Hospital Center New York$1,7661.6×92026-09-05
Kings County Hospital Center Brooklyn$1,7661.6×92026-09-05
Bellevue Hospital Center New York$1,7661.6×92026-09-05
Queens Hospital Center Jamaica$1,7661.6×92026-09-05
Jones Memorial Hospital Wellsville$1,8031.6×92026-01-01
Nicholas H Noyes Memorial Hospital Dansville$1,8211.6×92026-01-01
Highland Hospital Rochester$1,9561.7×42026-07-01
Geneva General Hospital Geneva$1,9981.8×32026-08-27
Crouse Hospital Syracuse$2,0331.8×32026-05-19
Schuyler Hospital Montour Falls$2,1981.9×12026-03-27
Garnet Health Medical Center Middletown$2,3212.0×122026-04-01
Montefiore Mount Vernon Hospital Mount Vernon$2,3462.1×102026-04-01
St James Hospital Hornell$2,4112.1×82026-01-01
St John'S Riverside Hospital Yonkers$2,5092.2×102026-03-27
Medina Memorial Hospital Medina$2,5912.3×32026-07-29
Wynn Hospital Utica$2,6112.3×152026-08-07
Samaritan Medical Center Watertown$2,8462.5×42026-02-02
Flushing Hospital Medical Center Flushing$2,8542.5×102026-03-25
Columbia Memorial Hospital Hudson$2,9542.6×62025-12-31
Roswell Park Cancer Institute Buffalo$2,9962.6×32026-04-01
Erie County Medical Center Buffalo$3,0842.7×62026-08-25
Garnet Health Medical Center Catskills Harris$3,0872.7×102026-04-01
Jamaica Hospital Medical Center Jamaica$3,3332.9×102026-03-25
Saratoga Hospital Saratoga Springs$3,5963.2×42025-12-31
Glens Falls Hospital Glens Falls$3,9263.5×62025-12-31
Maimonides Medical Center Brooklyn$4,1433.7×72026-04-01
Stony Brook University Hospital Stony Brook$4,4113.9×52026-06-10
Guthrie Cortland Regional Medical Center Cortland$4,5584.0×42026-03-31
Samaritan Hospital Troy$4,7644.2×242026-03-31
Albany Medical Center Hospital Albany$4,8204.3×62025-12-31
Corning Hospital Corning$6,2115.5×32026-03-31
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$7,3346.5×92026-01-01

Questions

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

47 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 47 hospitals is $2,033, 1.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.