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

Posted commercial rates at 7 Oregon hospitals, each next to its own Medicare base rate.

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CPT 43239

HospitalMedian across insurers× MedicareInsurersFile date
Providence St Vincent Medical Center Portland$5,0485.0×22026-04-01
Providence Portland Medical Center Portland$5,0485.0×22026-04-01
Providence Milwaukie Hospital Milwaukie$5,0485.0×22026-04-01
Legacy Emanuel Medical Center Portland$6,0426.0×52026-04-01
Legacy Good Samaritan Medical Center Portland$6,0426.0×52026-04-01
Legacy Mount Hood Medical Center Gresham$6,0426.0×52026-04-01
Legacy Meridian Park Medical Center Tualatin$6,0426.0×52026-04-01

Questions

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

7 Oregon 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 7 hospitals is $6,042, 6.0× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.