Surgery and procedures CPT 43235 Outpatient

Upper endoscopy cost in Philadelphia, PA

In Philadelphia-Camden-Wilmington, PA-NJ-DE-MD, 12 hospitals list a cash price for upper endoscopy (EGD), diagnostic: from $504.40 to $4,812.00, with a median of $1,678.05. The lowest listed price is at Riddle Memorial Hospital and 3 other hospitals — $1,173.65 less than the median here. Across Pennsylvania, the median is $1,895.40 at 59 hospitals.

  • The median here, $1,678.05, is 8% above the US median of $1,552.50.
  • That is 1.8× Medicare's 2026 national rate for the same service ($926.63).
  • Philadelphia, PA has the lowest median of 2 metro areas in Pennsylvania with at least 10 hospitals pricing this code.
  • 5 of 12 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 12 facilities across 12 cities for code 43235, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 25, 2026; the hospital files themselves were last updated between Mar 10, 2026 and Sep 21, 2026.

Lowest$504.40Riddle Memorial Hospital + 3 more
Median$1,678.05half of hospitals charge less
Highest$4,812.00in this market
Difference9.5×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Philadelphia-Camden-Wilmington, PA-NJ-DE-MD.

median
Lowest $504.40Highest $4,812.00

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Riddle Memorial Hospital lowest Media, PA · (610) 566-9400 Hc Egd Diagnostic Brush Wash File of Apr 1, 2026 · source file $504.40 $1,261.00 — 60%
The Bryn Mawr Hospital lowest Bryn Mawr, PA · (610) 526-3000 Hc Egd Diagnostic Brush Wash File of Apr 1, 2026 · source file $504.40 $1,261.00 — 60%
Lankenau Medical Center lowest Wynnewood, PA · (610) 645-2000 Hc Egd Diagnostic Brush Wash File of Apr 1, 2026 · source file $504.40 $1,261.00 — 60%
Paoli Hospital lowest Paoli, PA · (610) 648-1000 Hc Egd Diagnostic Brush Wash File of Apr 1, 2026 · source file $504.40 $1,261.00 — 60%
Lower Bucks Hospital Bristol, PA · (215) 785-9200 Hc Egd Transoral Diagnostic File of Sep 1, 2026 · source file $892.00 $1,007.00 $132.70–$1,007.00 11%
Roxborough Memorial Hospital Philadelphia, PA · (215) 483-9900 Egd Diagnostic Brush Wash+1 more line at this price File of Sep 1, 2026 · source file $927.00 $6,843.00 $132.70–$6,637.71 86%
Holy Redeemer Hospital and Medical Center Meadowbrook, PA · (215) 947-3000 EGD Diagnostic w/ or w/o Spec - ACU File of Sep 21, 2026 · source file $2,429.10 $4,048.50 $918.49–$3,117.35 40%
Inspira Medical Center Mannington Salem, NJ EGD DIAGNOSTIC BRUSH WASH File of Mar 24, 2026 · source file $2,727.68 $2,727.68 $336.73–$4,105.00 —
Inspira Medical Center Elmer Elmer, NJ · (856) 363-1000 EGD DIAGNOSTIC BRUSH WASH File of Mar 24, 2026 · source file $2,727.68 $2,727.68 $336.73–$4,105.00 —
Inspira Health Center Woodbury Woodbury, NJ EGD DIAGNOSTIC BRUSH WASH File of Mar 24, 2026 · source file $2,727.68 $2,727.68 $336.73–$4,105.00 —
Inspira Medical Center Mullica Hill Mullica Hill, NJ · (856) 363-1000 EGD DIAGNOSTIC BRUSH WASH File of Mar 24, 2026 · source file $2,727.68 $2,727.68 $336.73–$4,105.00 —
Nemours Children's Hospital, Delaware Wilmington, DE · (302) 651-4000 Esophagogastroduodenoscopy Flex Transoral Incl Coll Spec Brush/Wash+1 more line at this price File of Mar 10, 2026 · source file $4,812.00 $4,812.00 — —
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Outpatient: lowest $504.40, median $1,678.05, highest $4,812.00 — a 9.5× difference within the same market.

As an inpatient, the same code is billed by 10 facilities here, median $2,578.39. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 7 of 7 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What upper endoscopy is, what the price covers and why prices differ: Upper endoscopy explained.