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

Posted commercial rates at 39 Virginia hospitals, each next to its own Medicare base rate.

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CPT 43239

HospitalMedian across insurers× MedicareInsurersFile date
Smyth County Community Hospital Marion$1,1071.3×42026-03-23
Russell County Hospital Lebanon$1,1141.3×42026-03-23
Johnston Memorial Hospital Abingdon$1,1141.3×42026-03-23
Lonesome Pine Hospital Big Stone Gap$1,3291.5×52026-03-23
Dickenson Community Hospital Clintwood$1,6411.9×32026-03-23
Sentara Northern Virginia Medical Center Woodbridge$2,2102.4×42026-04-01
Lewisgale Medical Center Salem$2,3662.7×12026-09-01
Inova Alexandria Hospital Alexandria$2,4852.6×72026-04-01
Inova Loudoun Hospital Leesburg$2,4852.6×72026-04-01
Inova Fairfax Hospital Falls Church$2,4852.6×72026-04-01
Inova Fair Oaks Hospital Fairfax$2,4852.6×72026-04-01
Inova Mount Vernon Hospital Alexandria$2,4852.6×72026-04-01
Augusta Health Fishersville$2,7283.1×32026-04-01
Sentara Rmh Medical Center Harrisonburg$2,7913.1×12026-04-01
Carilion Tazewell Community Hospital Tazewell$2,8183.2×22025-12-15
Sentara Martha Jefferson Hospital Charlottesville$2,8403.1×42026-04-01
Sentara Halifax Regional Hospital South Boston$3,0743.5×12026-04-01
Reston Hospital Center Reston$3,1893.4×62026-09-01
Stonesprings Hospital Center Dulles$3,1893.4×62026-09-01
Spotsylvania Regional Medical Center Fredericksburg$3,2733.5×52026-09-01
Carilion Roanoke Memorial Hospital Roanoke$3,3013.7×12025-12-15
Carilion New River Valley Medical Center Christiansburg$3,8544.3×12025-12-15
Lewisgale Hospital Montgomery Blacksburg$3,9864.5×22026-09-01
Sentara Careplex Hospital Hampton$4,0704.6×22026-04-01
CJW Medical Center (Chippenham + Johnston-Willis) Richmond$4,1464.7×62026-09-01
Henrico Doctors' Hospital Richmond$4,1464.7×62026-09-01
Sentara Williamsburg Regional Medical Center Williamsburg$4,2114.8×22026-04-01
Carilion Rockbridge Community Hospital Lexington$4,2334.8×12025-12-15
Carilion Franklin Memorial Hospital Rocky Mount$4,4445.0×12025-12-15
Fauquier Hospital Warrenton$4,5404.8×12026-07-14
Sentara Norfolk General Hospital Norfolk$4,5645.2×32026-04-01
Sentara Obici Hospital Suffolk$4,5645.2×32026-04-01
Sentara Leigh Hospital Norfolk$4,5645.2×32026-04-01
Sentara Virginia Beach General Hospital Virginia Beach$4,5645.2×32026-04-01
Sentara Princess Anne Hospital Virginia Beach$4,5645.2×32026-04-01
Carilion Giles Community Hospital Pearisburg$4,6755.3×12025-12-15
Tricities Hospital Hopewell$4,8165.4×52026-09-01
Lewisgale Hospital Pulaski Pulaski$5,0515.7×32026-09-01
Lewisgale Hospital Alleghany Low Moor$5,0515.7×32026-09-01

Questions

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

39 Virginia 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 39 hospitals is $3,273, 3.5× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.