Upper GI endoscopy (EGD) Cost by Hospital

Upper GI endoscopy (EGD) is an endoscopic (scope) procedure. Prices are from 2032 US hospitals across 52 states, from their machine-readable files.

$1,466median cash price · 2032 hospitals, 52 statestypically $473–$4,089 depending on the hospital
≈ 4.0× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$2,704
Cash / self-pay
$1,466
Insurer-negotiated
$1,124
Medicare pays
$371
$473$4,089
Median cash $1,466  ·  Medicare $371  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $1,466 — 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 $1,238 (46%).

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

HospitalLocationCashInsurerCMS ratingER waitReadmit
Sturdy Memorial Hospital Attleboro, MA $228 $1,087 ★ 3/5 194 min —
Henry County Hospital, Inc Napoleon, OH $228 $305 ★ 2/5 104 min —
Ascension Calumet Hospital Chilton, WI $238 $143 — 86 min —
Citizens Medical Center Columbia, LA $239 $350 ★ 3/5 124 min —
University Medical Center of El Paso El Paso, TX $242 $383 ★ 3/5 240 min —
Northwest Florida Community Hospital Chipley, FL $245 $134 ★ 2/5 — —
York Hospital York, ME $245 — ★ 4/5 166 min —
Artesia General Hospital Artesia, NM $250 $772 — 99 min —
Share Medical Center Alva, OK $254 — — 141 min —
Harrison County Community Hospital Bethany, MO $260 $259 ★ 3/5 109 min —
Sierra Vista Hospital T Or C, NM $264 $321 — 175 min —
Memorial Healthcare Owosso, MI $267 $996 ★ 3/5 181 min —
Sabine Medical Center Many, LA $267 $774 — 129 min —
McLaren Caro Region Caro, MI $272 $153 — 72 min —
Chase County Community Hospital Imperial, NE $276 $233 — 145 min —
Aurelia Osborn Fox Memorial Hospital Oneonta, NY $279 $1,188 ★ 3/5 132 min —
Acadia General Hospital Crowley, LA $279 $852 ★ 3/5 109 min —
Nazareth Hospital Philadelphia, PA $285 $63 ★ 2/5 222 min —
Reading Hospital West Reading, PA $286 $160 ★ 4/5 230 min —
St Joseph's Hospital Health Center Syracuse, NY $290 $52 ★ 2/5 226 min —
Bellville Medical Center Bellville, TX $290 $52 — 104 min —
Saint Joseph Regional Medical Center-Plymouth Plymouth, IN $301 $57 ★ 4/5 138 min —
Mount Carmel St Ann's Westerville, OH $302 $301 ★ 3/5 167 min —
Mount Carmel Dublin Dublin, OH $302 $301 — 125 min —
Newport Community Hospital Newport, WA $304 $142 — — —

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 October 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: $1,466; Medicare pays $371.

InsurerHospitalsNegotiated median
Medicare 483
$60
$43 – $960
Medicaid 287
$69
$20 – $309
Univera 15
$147
$100 – $628
Highmark 122
$159
$47 – $1,977
Geisinger 61
$270
$159 – $1,458
Independent Health 33
$287
$101 – $1,109
Tricare / VA 336
$301
$55 – $1,161
Amerigroup 142
$352
$277 – $2,105
MVP Health Care 73
$456
$126 – $3,099
AmeriHealth 171
$464
$133 – $2,956
Priority Health 49
$482
$109 – $2,769
Blue Cross Blue Shield 1174
$491
$52 – $3,063
Workers' Comp / No-Fault 101
$604
$521 – $2,412
Molina Healthcare 530
$624
$59 – $2,702
HealthPartners 206
$695
$87 – $2,309
Anthem 523
$710
$55 – $3,382
Harvard Pilgrim 48
$795
$267 – $2,133
Centene / Ambetter 719
$808
$51 – $2,160
UPMC Health Plan 83
$858
$138 – $2,588
UCare 67
$898
$94 – $2,143
Devoted Health 145
$909
$546 – $1,072
Humana 925
$913
$67 – $3,350
Sanford Health Plan 61
$933
$111 – $1,738
Kaiser Permanente 207
$942
$56 – $2,766
Health Net 241
$957
$54 – $3,826
Bright Health 51
$960
$607 – $2,644
Medica 170
$985
$135 – $2,466
UnitedHealthcare 1365
$1,033
$144 – $4,331
SelectHealth 42
$1,060
$279 – $5,307
Security Health Plan 52
$1,153
$125 – $2,471
Coventry 116
$1,304
$161 – $3,427
Aetna 1252
$1,310
$146 – $3,935
MultiPlan / PHCS network 616
$1,500
$150 – $3,534
EmblemHealth 69
$1,793
$682 – $9,638
Healthcare Highways 45
$2,214
$1,243 – $3,160
Cigna 1012
$2,428
$303 – $7,321
AvMed 50
$2,776
$144 – $11,304
Oscar Health 209
$3,370
$519 – $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

StateMedian cash
Kentucky$607
Vermont$618
Iowa$801
West Virginia$806
Arkansas$835
Tennessee$845

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.

ClinicianSpecialtyLocationMedicare services
Mohamadali Eloubeidi, MDGastroenterologyAnniston, AL861
Raoul Joubran, MDGastroenterologyCasper, WY753
Soundarapandian Baskar, MDGastroenterologyTavares, FL683
Nehme Gabriel, M.DGastroenterologyLeesburg, FL671
Fadi Rzouq, MBBSGastroenterologyNorfolk, NE646
Frederick Boghossian, M.D.GastroenterologyGlendale, CA570
Issam Nasr, MDGastroenterologyPalm Coast, FL568
Pankaj Patel, M.D.GastroenterologySebring, FL532
Christopher Wells, M.D.GastroenterologyPanama City, FL524
Chia Chi Lai, M.D.GastroenterologyMonterey Park, CA524
Long Dang, M.D.GastroenterologyWestminster, CA522
Kinan Rahal, MDGastroenterologySarasota, FL515

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 2032 US hospitals across 52 states, the typical (median) cash price is $1,466, versus a chargemaster (list) price around $2,704, a median insurer-negotiated rate of $1,124, a Medicare rate of about $371. Most cash prices fall between $473 and $4,089 — 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 2032 US hospitals is $1,466. Most hospitals fall between $473 and $4,089. 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.

Related Endoscopy

See more Endoscopy.