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

Posted commercial rates at 72 Pennsylvania hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 43239

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Horizon Greenville$9201.0×32026-03-06
Wayne Memorial Hospital Honesdale$9741.1×12026-09-16
Upmc Jameson New Castle$1,0801.2×42026-03-06
Troy Community Hospital Troy$1,1981.4×52026-03-31
Jefferson Hospital Jefferson Hills$1,2021.4×72026-04-14
Upmc Somerset Somerset$1,2071.4×22026-03-06
Upmc Mckeesport Mc Keesport$1,3181.5×22026-03-06
Upmc Mercy Pittsburgh$1,4201.6×32026-03-06
Upmc Northwest Seneca$1,5141.7×22026-03-06
Saint Vincent Hospital Erie$1,5601.8×72026-04-14
Upmc Bedford Memorial Everett$1,5911.8×22026-03-06
Upmc Washington Washington$1,5981.8×42026-03-06
Forbes Hospital Monroeville$1,6341.9×72026-04-14
Uniontown Hospital Uniontown$1,6821.9×42026-07-09
Upmc East Monroeville$1,7041.9×22026-03-06
Grove City Hospital Grove City$1,7051.9×62026-04-14
Upmc Passavant Pittsburgh$1,7201.9×22026-03-07
Upmc Altoona Altoona$1,7251.9×12026-03-06
Upmc Kane Kane$1,7261.9×22026-03-06
Upmc Hamot Erie$1,7502.0×42026-03-06
Upmc St Margaret Pittsburgh$1,7672.0×22026-03-06
Temple Health - Chestnut Hill Hospital Philadelphia$1,7941.9×72026-04-08
Roxborough Memorial Hospital Philadelphia$1,8081.9×62024-06-21
Upmc Cole Coudersport$1,8312.1×12026-03-06
Conemaugh Memorial Medical Center Johnstown$1,8742.1×12026-04-15
Allegheny Valley Hospital Natrona$1,9042.2×62026-04-14
Canonsburg General Hospital Canonsburg$1,9092.2×62026-04-14
Lower Bucks Hospital Bristol$1,9462.2×62026-09-01
St Clair Hospital Pittsburgh$2,0272.3×72026-03-31
Magee Womens Hospital Of Upmc Health System Pittsburgh$2,0332.3×22026-03-06
Ahn Wexford Hospital Wexford$2,0532.3×62026-04-14
St Mary Medical Center Langhorne$2,2132.5×202026-03-31
Allegheny General Hospital Pittsburgh$2,3602.7×62026-04-14
West Penn Hospital Pittsburgh$2,3702.7×62026-04-14
Wilkes-Barre General Hospital Wilkes-Barre$2,4062.7×12026-07-01
Nazareth Hospital Philadelphia$2,4172.6×192026-03-31
Upmc Carlisle Carlisle$2,5232.8×32026-03-06
Holy Redeemer Hospital And Medical Center Meadowbrook$2,5662.9×52026-09-21
Hospital Of The Fox Chase Cancer Center Philadelphia$2,5682.8×82026-04-08
Upmc Memorial York$2,5822.9×52026-03-06
St Luke'S Miners Memorial Hospital Coaldale$2,5932.9×32026-02-27
Wellspan Evangelical Community Hospital Lewisburg$2,6233.0×62026-01-01
Upmc Presbyterian Shadyside Pittsburgh$2,6343.0×22026-03-06
Geisinger Community Medical Center Scranton$2,6413.0×32026-07-01
Temple University Hospital Philadelphia$2,7202.9×112026-04-13
Upmc Lititz Lititz$2,7473.1×32026-03-06
Geisinger St. Luke'S Hospital Orwigsburg$2,7943.2×22026-02-26
St Luke'S Hospital - Monroe Campus Stroudsburg$2,8873.3×32026-02-27
St Luke'S Hospital - Carbon Campus Lehighton$2,8873.1×32026-02-27
Jefferson Lansdale Hospital Lansdale$2,8883.3×62026-09-15
Jefferson Abington Hospital Abington$2,8883.3×62026-09-15
St Luke'S Hospital Bethlehem Bethlehem$3,0013.3×32026-02-26
St Luke'S Hospital - Upper Bucks Campus Quakertown$3,0263.4×32026-02-26
Penn State Health Hampden Medical Center Enola$3,0313.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$3,0643.4×12026-03-27
Jefferson Einstein Montgomery Hospital East Norriton$3,1113.5×62026-09-15
Penn State Health Lancaster Medical Center Lancaster$3,1123.5×12026-03-27
Upmc Hanover Hanover$3,1863.6×32026-03-06
Wellspan York Hospital York$3,2413.7×42026-01-01
Wellspan Chambersburg Hospital Chambersburg$3,2963.6×32026-01-01
Geisinger-Lewistown Hospital Lewistown$3,3963.9×22026-07-01
Wellspan Waynesboro Hospital Waynesboro$3,3993.7×32026-01-01
Wellspan Ephrata Community Hospital Ephrata$3,4463.9×32026-01-01
Riddle Memorial Hospital Media$3,4533.7×22026-04-01
Jefferson Health-Northeast Philadelphia$3,5303.8×62026-09-15
St Luke'S Hospital - Easton Campus Easton$3,5663.9×22026-02-26
Paoli Hospital Paoli$3,5984.1×22026-04-01
Bryn Mawr Hospital Bryn Mawr$3,6403.9×22026-04-01
Lankenau Medical Center Wynnewood$3,6804.2×22026-04-01
Penn State Health St. Joseph Reading$4,0114.3×12026-03-27
Thomas Jefferson University Hospital Philadelphia$5,0905.5×42026-09-15
Robert Packer Hospital Sayre$5,6346.4×102026-03-31

Questions

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

72 Pennsylvania 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 72 hospitals is $2,470, 2.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.