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

Posted commercial rates at 48 Tennessee hospitals, each next to its own Medicare base rate.

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CPT 43239

HospitalMedian across insurers× MedicareInsurersFile date
Erlanger Health System Chattanooga$8131.0×32026-01-25
Greeneville Community Hospital Greeneville$8461.0×32026-03-23
Hardin Medical Center Savannah$9861.2×42026-05-01
Johnson City Medical Center Johnson City$1,0801.3×42026-03-23
Sycamore Shoals Hospital Elizabethton$1,1031.3×42026-03-23
Franklin Woods Community Hospital Johnson City$1,1041.3×52026-03-23
Hawkins County Memorial Hospital Rogersville$1,1311.4×42026-03-23
Rhea Medical Center Dayton$1,1531.4×12026-03-30
Ascension Saint Thomas Dekalb Smithville$1,2391.5×22026-01-01
Ascension Saint Thomas River Park Hospital McMinnville$1,2391.5×22026-01-01
Saint Thomas Highlands Hospital Sparta$1,2391.5×22026-01-01
Ascension Saint Thomas Rutherford Murfreesboro$1,2571.4×32026-01-01
Ascension Saint Thomas Hospital (Midtown + West) Nashville$1,2571.4×52026-01-01
Indian Path Community Hospital Kingsport$1,2661.5×52026-03-23
Bristol Regional Medical Center Bristol$1,3091.6×52026-03-23
Holston Valley Medical Center Kingsport$1,3091.6×52026-03-23
Vanderbilt Bedford Hospital Shelbyville$1,3601.6×132025-10-01
Johnson County Community Hospital Mountain City$1,4251.7×32026-03-23
Tennova Healthcare North Knoxville Medical Center Powell$1,4301.7×42026-04-01
Vanderbilt Wilson County Hospital Lebanon$1,4631.7×132025-10-01
Vanderbilt Tullahoma-Harton Hospital Tullahoma$1,4861.8×132025-10-01
Baptist Memorial Hospital Union City Union City$1,5411.9×502026-02-25
Erlanger Bledsoe Hospital Pikeville$1,5751.9×12026-01-25
Tennova Healthcare Lafollette Medical Center La Follette$1,5901.9×62026-04-01
Cumberland Medical Center Crossville$1,8082.2×52026-08-05
Morristown Hamblen Hospital Association Morristown$1,8082.2×52026-08-05
Roane Medical Center Harriman$1,8082.2×52026-08-05
Methodist Medical Center Of Oak Ridge Oak Ridge$1,8082.2×52026-08-05
Claiborne Medical Center Tazewell$1,8082.2×52026-08-05
Leconte Medical Center Sevierville$1,8082.2×52026-08-05
Fort Sanders Regional Medical Center Knoxville$1,8082.2×52026-08-05
Methodist Hospitals of Memphis Memphis$1,8762.2×42026-03-19
Vanderbilt Clarksville Hospital Clarksville$1,8962.1×72026-01-01
Parkwest Medical Center Knoxville$1,9342.4×42026-08-05
Southern Tennessee Regional Health System Pulaski Pulaski$1,9362.4×22026-07-14
Starr Regional Medical Center Athens Athens$1,9362.4×22026-07-10
Southern Tennessee Regional Health System Lawrence Lawrenceburg$1,9362.4×22026-07-14
Vanderbilt University Medical Center Nashville$2,0072.3×132025-10-01
Livingston Regional Hospital Livingston$2,0392.5×22026-04-01
Tristar Northcrest Medical Center Springfield$2,2442.6×62026-09-01
TriStar Skyline Medical Center Nashville$2,4042.8×62026-09-01
TriStar Summit Medical Center Hermitage$2,4042.8×62026-09-01
Tristar Southern Hills Medical Center Nashville$2,4042.8×62026-09-01
Tristar Horizon Medical Center Dickson$2,4742.8×62026-09-01
TriStar Hendersonville Medical Center Hendersonville$2,4742.8×62026-09-01
TriStar StoneCrest Medical Center Smyrna$2,4742.8×62026-09-01
Tristar Ashland City Medical Center Ashland City$2,4742.8×62026-09-01
Parkridge Medical Center Chattanooga$2,5003.0×62026-09-01

Questions

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

48 Tennessee 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 48 hospitals is $1,699, 2.0× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.