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

Posted commercial rates at 48 Wisconsin 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
Tomah Memorial Hospital Tomah$6820.8×22026-06-30
Ascension Ne Wisconsin - St Elizabeth Campus Appleton$1,3101.5×42026-01-01
Ascension St Francis Hospital Milwaukee$1,3571.5×22026-01-01
Ascension Se Wisconsin Hospital - St Joseph Campus Milwaukee$1,3571.5×22026-01-01
Ascension Calumet Hospital Chilton$1,3581.5×32026-01-01
Thedacare Regional Medical Center - Neenah Inc Neenah$1,3831.6×12026-08-08
Ascension Columbia St Mary'S Hospital Milwaukee Ca Milwaukee$1,4851.6×32026-01-01
Thedacare Medical Center - Wild Rose Inc Wild Rose$1,5631.8×12026-08-08
Marshfield Medical Center Marshfield$2,0072.3×12026-02-20
Stoughton Hospital Stoughton$2,0982.4×22026-06-11
Orthopaedic Hospital Of Wisconsin Glendale$2,1832.4×32026-01-01
Marshfield Medical Center - Rice Lake Rice Lake$2,2252.5×32026-02-20
Marshfield Medical Center - Eau Claire Eau Claire$2,2252.5×32026-02-20
Marshfield Medical Center - Minocqua Minocqua$2,2252.5×32026-02-20
Westfields Hospital And Clinic New Richmond$2,3272.5×12026-03-31
Marshfield Medical Center - Weston Weston$2,4122.7×22026-02-20
Hudson Hospital & Clinic Hudson$2,4762.6×42026-03-31
Amery Hospital & Clinic Amery$2,6743.0×12026-03-31
Gundersen Moundview Hospital And Clinics Friendship$2,7813.2×32026-06-27
Gundersen St Josephs Hospital And Clinics Hillsboro$2,8523.1×32026-06-27
Bellin Memorial Hospital Green Bay$2,9293.3×52026-06-27
Aurora Medical Ctr Manitowoc County Two Rivers$3,0773.5×142025-11-21
Aurora Medical Center Sheboygan County Sheboygan$3,0773.5×142025-11-21
Aurora Medical Ctr Washington County Hartford$3,0773.4×142025-11-21
Aurora Medical Center Burlington Burlington$3,0773.4×142025-11-21
Aurora Lakeland Medical Center Elkhorn$3,0773.5×142025-11-21
Aurora Medical Center Bay Area Marinette$3,0773.5×142025-11-21
Aurora West Allis Medical Center West Allis$3,0773.4×142025-11-21
Aurora Medical Ctr Kenosha Kenosha$3,0773.5×142025-11-21
Aurora Baycare Medical Ctr Green Bay$3,0773.5×142025-11-21
Aurora Medical Ctr Oshkosh Oshkosh$3,0773.5×142025-11-21
Aurora Medical Center Summit Summit$3,0773.4×142025-11-21
Aurora Medical Center Grafton$3,0773.4×142025-11-21
Gundersen Lutheran Medical Center La Crosse$3,5603.9×42026-06-27
Watertown Regional Medical Center Watertown$3,6094.1×12026-04-01
Aspirus Divine Savior Hospital Portage$3,6214.1×42026-04-01
Gundersen Boscobel Area Hospital And Clinics Boscobel$3,6914.2×32026-06-27
Aspirus Stevens Point Hospital Stevens Point$3,9544.5×22026-04-01
Aspirus Rhinelander Hospital Rhinelander$3,9544.5×22026-04-01
Aspirus Wisconsin Rapids Hospital Wisconsin Rapids$3,9544.5×22026-04-01
Howard Young Medical Ctr Woodruff$3,9544.5×22026-04-01
Froedtert Holy Family Memorial Hospital Manitowoc$4,3264.9×32025-12-31
Froedtert Menomonee Falls Hospital Menomonee Falls$4,4685.0×42025-12-31
Froedtert Community Hospital New Berlin$4,5335.0×42025-12-31
Marshfield Medical Center - Beaver Dam Beaver Dam$4,7265.4×12026-02-20
Froedtert West Bend Hospital West Bend$4,7945.3×42025-12-31
Unitypoint Health - Meriter Madison$5,1695.9×12026-01-28
Aspirus Wausau Hospital Wausau$5,2205.9×22026-04-01

Questions

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

48 Wisconsin 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 $3,077, 3.4× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.