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How much does upper endoscopic ultrasound cost?

EGD with an ultrasound probe (43259); 43242/43237 with needle biopsy or limited exam. What Medicare pays in each setting, in every state, and where it costs less.

Surgery center
$1,093
Medicare 2026, national
Hospital outpatient
$2,159
Medicare 2026, national

EGD with an ultrasound probe (43259); 43242/43237 with needle biopsy or limited exam.

Every bill for the whole procedure: facility, surgeon, anesthesia and the care around it

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Questions

How much does upper endoscopic ultrasound cost?

Medicare's 2026 national price for upper endoscopic ultrasound is $1,093 at surgery center; $2,159 at hospital outpatient. Prices vary by area; private insurance usually pays more.

Where is upper endoscopic ultrasound cheapest?

Usually at surgery center ($1,093) rather than hospital outpatient ($2,159), about $1,066 less for the same service at Medicare's national rates.

Is this what I will pay?

These are Medicare's payment rates, a public benchmark for a fair price. What you pay depends on your insurance, deductible and the provider. Ask for a written estimate before you book; if you are uninsured or paying yourself, you are entitled to a Good Faith Estimate.