Upper endoscopy cost without insurance
The median cash price for Upper endoscopy with biopsy is $1,470.60 across 947 US hospitals that publish a self-pay price. Most hospitals (the middle 80%) charge between $377.43 and $4,618.29.
An upper endoscopy (EGD) looks at the esophagus, stomach and first part of the small intestine with a thin camera passed through the mouth. It is used for reflux, trouble swallowing, ulcers and bleeding. A biopsy is common and changes the code; the lab exam of the tissue, the doctor and sedation are usually billed separately.
Collected Sep 25, 2026 One price per hospital, from each hospital's own price file
Upper endoscopy prices by type
43239 is upper endoscopy with biopsy and is used in the state table; 43235 is a diagnostic endoscopy; 43249 and 43248 stretch a narrowed esophagus; 43251 removes a polyp; 43236 injects the lining; and 43240 drains a cyst.
| Procedure | Hospitals | Most charge | Median | Medicare |
|---|---|---|---|---|
| Upper endoscopy Upper endoscopy (EGD), diagnostic · code 43235 | 924 | $397.22–$3,812.84 | $1,369.55 | $926.63median 1.5× |
| Upper endoscopy with biopsy Upper endoscopy (EGD) with biopsy · code 43239 | 947 | $377.43–$4,618.29 | $1,470.60 | $926.63median 1.6× |
| Upper endoscopy with balloon dilation Upper endoscopy (EGD) with balloon widening of the esophagus · code 43249 | 803 | $574.40–$6,108.18 | $2,091.20 | — |
| Upper endoscopy with polyp removal Upper endoscopy (EGD) with polyp removal by snare · code 43251 | 709 | $403.76–$6,153.93 | $1,914.75 | — |
| Upper endoscopy with wire-guided dilation Upper endoscopy (EGD) with widening of the esophagus over a guide wire · code 43248 | 678 | $390.25–$4,605.60 | $1,441.25 | $926.63median 1.6× |
| Upper endoscopy with injection Upper endoscopy (EGD) with injection into the lining · code 43236 | 638 | $388.94–$4,839.17 | $1,517.03 | $926.63median 1.6× |
| Endoscopic cyst drainage Upper endoscopy with drainage of a pseudocyst through the stomach wall · code 43240 | 427 | $700.80–$9,055.20 | $3,571.80 | — |
“Most charge” is the middle 80% of hospitals (10th to 90th percentile), so one mistyped line in a hospital file cannot stretch it. Each hospital counts once, at its lowest outpatient cash price for the code. “Medicare” is Medicare's 2026 national base rate for the same service outside a hospital stay, including the patient's share (the hospital outpatient, lab or hospital clinic rate); “median 3×” means the median cash price is three times that rate.
Upper endoscopy with biopsy: median by state
States with at least two hospitals, cheapest median first. Pick a state for its upper endoscopy prices and cheapest hospitals.
- Maine$239.50
- Puerto Rico$278.50
- Michigan$444.10
- Indiana$455.00
- Vermont$585.60
- Tennessee$611.32
- West Virginia$624.00
- Oklahoma$631.50
- Louisiana$653.94
- Texas$731.70
- New Hampshire$738.27
- New Mexico$830.19
- Iowa$914.40
- Arkansas$973.65
- Wyoming$974.72
- Nevada$986.00
- Montana$990.40
- Oregon$1,059.75
- New York$1,066.79
- Mississippi$1,123.00
- New Jersey$1,138.81
- Nebraska$1,381.25
- Georgia$1,405.56
- Maryland$1,496.10
- Kentucky$1,515.72
- Minnesota$1,532.93
- Wisconsin$1,580.80
- Alaska$1,609.92
- North Dakota$1,760.00
- California$1,768.00
- Massachusetts$1,819.21
- Washington$1,828.80
- Colorado$1,937.06
- North Carolina$1,939.00
- Pennsylvania$2,019.60
- Illinois$2,268.70
- Arizona$2,407.00
- Idaho$2,526.00
- South Dakota$2,540.00
- Ohio$2,738.45
- Delaware$2,741.26
- Rhode Island$3,101.40
- Kansas$3,105.46
- Missouri$3,112.62
- Florida$3,113.34
- Virginia$3,261.40
- Connecticut$3,288.00
- Alabama$4,617.28
- South Carolina$6,669.75
Paying cash: what to do
- Ask for one price that covers the facility, doctor, sedation and pathology.
- Freestanding endoscopy centers usually charge much less than hospitals.
- If you also need a colonoscopy, ask whether both can be done in one visit to save on facility and sedation fees.
Questions
Is upper endoscopy painful?
Most people are sedated and remember little of it.
How long does it take?
Usually 15 to 30 minutes, plus recovery from sedation.
Do I need someone to drive me home?
Yes, after sedation.