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Upper endoscopy (EGD) with biopsy in New York City

Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.

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CPT 43239

Hospital · insurer	Rate	× Medicare	Plans
Montefiore Medical Center median $1,456 · local Medicare $1,132 · file 2026-04-01
1199SEIU	$4,342	3.8×	1
Aetna	$1,446	1.3×	5
Cigna	$842	0.7×	5
Elevance/Anthem/Empire	$1,464	1.3×	20
EmblemHealth	$1,846	1.6×	13
Healthfirst	$962	0.8×	1
MultiPlan/PHCS (rental network)	$1,155	1.0×	1
Oscar	$5,510	4.9×	3
UnitedHealthcare	$1,448	1.3×	6
Elmhurst Hospital Center median $1,766 · local Medicare $1,132 · file 2026-09-05
1199SEIU	$836	0.7×	1
Aetna	$1,766	1.6×	2
Cigna	$2,892	2.6×	2
Elevance/Anthem/Empire	$1,759	1.6×	14
EmblemHealth	$1,016	0.9×	5
Oscar	$3,072	2.7×	2
UnitedHealthcare	$1,800	1.6×	6
South Brooklyn Health median $1,768 · local Medicare $1,132 · file 2026-09-05
1199SEIU	$836	0.7×	1
Aetna	$1,766	1.6×	2
Cigna	$2,892	2.6×	2
Elevance/Anthem/Empire	$1,768	1.6×	14
EmblemHealth	$1,016	0.9×	5
Oscar	$3,072	2.7×	2
UnitedHealthcare	$1,800	1.6×	6
Jacobi Medical Center median $1,771 · local Medicare $1,132 · file 2026-09-05
1199SEIU	$836	0.7×	1
Aetna	$1,766	1.6×	2
Cigna	$2,892	2.6×	2
Elevance/Anthem/Empire	$1,771	1.6×	14
EmblemHealth	$1,016	0.9×	5
Oscar	$3,072	2.7×	2
UnitedHealthcare	$1,800	1.6×	6
LINCOLN MEDICAL & MENTAL HEALTH CENTER median $1,773 · local Medicare $1,132 · file 2026-09-05
1199SEIU	$836	0.7×	1
Aetna	$1,766	1.6×	2
Cigna	$2,892	2.6×	2
Elevance/Anthem/Empire	$1,773	1.6×	14
EmblemHealth	$1,016	0.9×	5
Oscar	$3,072	2.7×	2
UnitedHealthcare	$1,800	1.6×	6
Jamaica Hospital Medical Center median $3,333 · local Medicare $1,132 · file 2026-03-25
Aetna	$2,842	2.5×	4
Cigna	$4,250	3.8×	1
Elevance/Anthem/Empire	$3,333	2.9×	3
EmblemHealth	$3,509	3.1×	2
Healthfirst	$958	0.8×	1
Maimonides Medical Center median $4,113 · local Medicare $1,132 · file 2026-04-01
1199SEIU	$2,830	2.5×	1
Aetna	$4,173	3.7×	3
Elevance/Anthem/Empire	$4,113	3.6×	2
EmblemHealth	$3,442	3.0×	1
UnitedHealthcare	$4,574	4.0×	7
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $7,334 · local Medicare $1,132 · file 2026-01-01
1199SEIU	$5,941	5.2×	3
Aetna	$8,442	7.5×	24
BCBS (other)	$7,334	6.5×	16
Cigna	$6,487	5.7×	22
Elevance/Anthem/Empire	$7,334	6.5×	36
EmblemHealth	$7,855	6.9×	47
UnitedHealthcare	$8,609	7.6×	24

Questions

How much does upper endoscopy (egd) with biopsy cost with commercial insurance in New York City?

8 New York City hospitals post usable commercial rates for CPT 43239, hospital outpatient. The median across hospitals is $1,772; hospital medians range from $1,456 to $7,334. Your cost depends on your plan's deductible and coinsurance.