Upper GI endoscopy (EGD) Cost — Compare Hospital Prices

Upper GI endoscopy (EGD) is an endoscopic (scope) procedure. Prices are from 2020 US hospitals across 52 states, from their machine-readable files.

$1,482median cash price · 2020 hospitals, 52 statestypically $457–$4,050 depending on the hospital

≈ 4.0× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)

$2,704

Cash / self-pay

$1,482

Insurer-negotiated

$1,132

Medicare pays

$371

$457$4,050

Median cash $1,482 · Medicare $371 · bar = typical cash range (10th–90th percentile)

Is this a fair price?

1× Medicarefair ≈2×5×+

Typical cash price here is $1,482 — about 4.0× the Medicare rate ($371). High vs Medicare. A fair cash price is usually within ~2× Medicare ($741).

💡 Asking for the cash price instead of the $2,704 list price could save about $1,222 (45%).

Estimate what you’ll pay

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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

See negotiated rates for your insurer:

Hospital	Location	Cash	Insurer	CMS rating	ER wait	Readmit
Sturdy Memorial Hospital	Attleboro, MA	$228	$1,087	★ 3/5	197 min	16.2%
Henry County Hospital, Inc	Napoleon, OH	$228	$305	★ 2/5	105 min	15.1%
Ascension Calumet Hospital	Chilton, WI	$238	$143	—	83 min	—
Citizens Medical Center	Columbia, LA	$239	$350	★ 3/5	123 min	15.6%
University Medical Center of El Paso	El Paso, TX	$242	$383	★ 3/5	242 min	15.4%
Northwest Florida Community Hospital	Chipley, FL	$245	$134	★ 2/5	—	14.3%
York Hospital	York, ME	$245	—	★ 4/5	172 min	14.8%
Artesia General Hospital	Artesia, NM	$250	$772	—	101 min	15.0%
Share Medical Center	Alva, OK	$254	—	—	141 min	15.2%
Harrison County Community Hospital	Bethany, MO	$260	$433	★ 3/5	109 min	15.5%
Sierra Vista Hospital	T Or C, NM	$264	$321	—	171 min	15.2%
Memorial Healthcare	Owosso, MI	$267	$996	★ 3/5	189 min	14.9%
Sabine Medical Center	Many, LA	$267	$774	—	128 min	15.4%
McLaren Caro Region	Caro, MI	$272	$153	—	70 min	—
Chase County Community Hospital	Imperial, NE	$276	$233	—	131 min	15.5%
Aurelia Osborn Fox Memorial Hospital	Oneonta, NY	$279	$1,188	★ 3/5	123 min	15.2%
Acadia General Hospital	Crowley, LA	$279	$852	★ 3/5	108 min	15.4%
Gordon Memorial Hospital District	Gordon, NE	$285	$268	—	105 min	15.4%
Nazareth Hospital	Philadelphia, PA	$285	$63	★ 2/5	216 min	14.5%
Reading Hospital	West Reading, PA	$286	$160	★ 4/5	238 min	15.4%
St Joseph's Hospital Health Center	Syracuse, NY	$290	$52	★ 2/5	228 min	16.2%
Bellville Medical Center	Bellville, TX	$290	$52	—	101 min	15.6%
Saint Joseph Regional Medical Center-Plymouth	Plymouth, IN	$301	$57	★ 4/5	138 min	13.7%
Mount Carmel St Ann's	Westerville, OH	$302	$301	★ 3/5	175 min	15.1%
Mount Carmel Dublin	Dublin, OH	$302	$301	—	—	—

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated August 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for Upper GI endoscopy (EGD)

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $1,482; Medicare pays $371.

Insurer	Hospitals	Negotiated median
Medicare	479	$60 $43 – $960
Medicaid	285	$69 $20 – $309
Univera	15	$147 $100 – $628
Highmark	116	$165 $50 – $1,977
Independent Health	33	$287 $101 – $1,109
Geisinger	60	$297 $164 – $1,458
Tricare / VA	332	$302 $55 – $1,161
Amerigroup	141	$352 $277 – $2,105
Anthem	508	$453 $53 – $3,452
MVP Health Care	73	$456 $126 – $2,988
AmeriHealth	169	$464 $134 – $3,055
Blue Cross Blue Shield	1174	$484 $52 – $3,055
Priority Health	50	$484 $109 – $2,769
Workers' Comp / No-Fault	101	$604 $521 – $2,412
Molina Healthcare	529	$624 $60 – $2,702
HealthPartners	205	$711 $87 – $2,276
Centene / Ambetter	704	$784 $51 – $2,160
Harvard Pilgrim	48	$798 $267 – $2,136
UPMC Health Plan	80	$858 $163 – $2,588
UCare	66	$898 $94 – $2,145
Devoted Health	142	$909 $586 – $1,072
Humana	916	$914 $67 – $3,393
Sanford Health Plan	59	$933 $111 – $1,737
Kaiser Permanente	206	$942 $56 – $2,766
Health Net	239	$956 $54 – $3,833
Bright Health	51	$960 $607 – $2,644
Medica	170	$985 $135 – $2,463
UnitedHealthcare	1345	$1,036 $142 – $4,382
SelectHealth	42	$1,060 $279 – $5,307
Security Health Plan	52	$1,153 $125 – $2,471
Aetna	1231	$1,343 $153 – $3,974
Coventry	113	$1,396 $161 – $3,616
MultiPlan / PHCS network	598	$1,473 $150 – $3,526
Healthcare Highways	45	$2,214 $1,243 – $3,160
Cigna	987	$2,428 $309 – $7,321
EmblemHealth	57	$2,547 $615 – $9,640
AvMed	50	$2,776 $144 – $11,304
Oscar Health	195	$3,370 $560 – $4,723

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

State	Median cash
Puerto Rico	$200
Kentucky	$607
Vermont	$618
Iowa	$801
West Virginia	$806
Arkansas	$835

Prices by city

Prices by state

Doctors who perform this

Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.

Clinician	Specialty	Location	Medicare services
Mohamadali Eloubeidi, MD	Gastroenterology	Anniston, AL	861
Raoul Joubran, MD	Gastroenterology	Casper, WY	753
Soundarapandian Baskar, MD	Gastroenterology	Tavares, FL	683
Nehme Gabriel, M.D	Gastroenterology	Leesburg, FL	671
Fadi Rzouq, MBBS	Gastroenterology	Norfolk, NE	646
Frederick Boghossian, M.D.	Gastroenterology	Glendale, CA	570
Issam Nasr, MD	Gastroenterology	Palm Coast, FL	568
Pankaj Patel, M.D.	Gastroenterology	Sebring, FL	532
Christopher Wells, M.D.	Gastroenterology	Panama City, FL	524
Chia Chi Lai, M.D.	Gastroenterology	Monterey Park, CA	524
Long Dang, M.D.	Gastroenterology	Westminster, CA	522
Kinan Rahal, MD	Gastroenterology	Sarasota, FL	515

Browse doctors by specialty & city →

Does Medicare cover Upper GI endoscopy (EGD)?

Yes — Medicare generally covers Upper GI endoscopy (EGD). It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $371. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $74 — unless a Medicare Advantage or supplemental (Medigap) plan covers it.

General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.

About these prices

Based on prices published by 2020 US hospitals across 52 states, the typical (median) cash price is $1,482, versus a chargemaster (list) price around $2,704, a median insurer-negotiated rate of $1,132, a Medicare rate of about $371. Most cash prices fall between $457 and $4,050 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
Compare several nearby hospitals; prices for the same service can differ severalfold.
Request a written estimate and the billing code (CPT/DRG) before scheduling.
Use the Medicare benchmark above to judge whether a quote is reasonable.
If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does Upper GI endoscopy (EGD) cost without insurance?

The median cash (self-pay) price across 2020 US hospitals is $1,482. Most hospitals fall between $457 and $4,050. Prices vary widely between hospitals, so it pays to compare before you book.

Does Medicare cover Upper GI endoscopy (EGD)?

Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $371). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.

What does Medicare pay for Upper GI endoscopy (EGD)?

Medicare pays about $371. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.

Why do Upper GI endoscopy (EGD) prices vary between hospitals?

Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.

Is the cash price lower than using insurance?

Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

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