Surgery and procedures CPT 43235 Outpatient

Upper endoscopy cost in Providence, RI

In Providence-Warwick, RI-MA, 11 hospitals list a cash price for upper endoscopy (EGD), diagnostic: from $335.65 to $3,153.00, with a median of $1,859.90. The lowest listed price is at Kent County Memorial Hospital and 1 other hospital — $1,524.25 less than the median here. Across Rhode Island, the median is $3,101.40 at 7 hospitals.

  • The median here, $1,859.90, is 20% above the US median of $1,548.75.
  • That is 2.0× Medicare's 2026 national rate for the same service ($926.63).
  • 5 of 11 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 11 facilities across 8 cities for code 43235, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 29, 2026; the hospital files themselves were last updated between Dec 15, 2025 and Sep 1, 2026.

Lowest$335.65Kent County Memorial Hospital + 1 more
Median$1,859.90half of hospitals charge less
Highest$3,153.00in this market
Difference9.4×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 Providence-Warwick, RI-MA.

median
Lowest $335.65Highest $3,153.00

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Kent County Memorial Hospital lowest Warwick, RI · (401) 737-7010 HC Esophagogastroduodenoscopy Transoral Diagnostic - Egd File of Feb 28, 2026 · source file $335.65 $959.00 $0.05–$2,910.00 65%
Women and Infants Hospital of Rhode Island lowest Providence, RI · (401) 274-1100 HC Esophagogastroduodenoscopy Transoral Diagnostic - Egd File of Feb 28, 2026 · source file $335.65 $959.00 $412.66–$6,431.00 65%
Landmark Medical Center Woonsocket, RI · (401) 769-4100 Egd Diagnostic Brush Wash+1 more line at this price File of Sep 1, 2026 · source file $1,014.00 $6,615.28 $519.96–$6,284.52 85%
Southcoast Hospitals Group - St. Luke's Hospital St. New Bedford, MA HC Esophagogastroduodenoscopy Transoral Diagnostic File of Dec 15, 2025 · source file $1,162.00 $2,324.00 $411.86–$2,068.36 50%
Southcoast Hospitals Group Fall River, MA · (508) 679-3131 HC Esophagogastroduodenoscopy Transoral Diagnostic File of Dec 15, 2025 · source file $1,162.00 $2,324.00 $411.86–$2,068.36 50%
Brown University Health Morton Hospital Taunton, MA · (508) 828-7000 HC EGD DIAG W COLL SPECIMEN(S) BRUSH/WASH W PERF File of Apr 1, 2026 · source file $1,859.90 $1,859.90 — —
Brown University Health Morton Hospital Taunton, MA · (508) 828-7000 HC EGD TRANSORAL DIAG W COLL SPECIMEN(S) BRUSH/WASH W PERF File of Apr 1, 2026 · source file $1,905.61 $1,905.61 — —
Saint Anne's Hospital Fall River, MA · (508) 674-5600 HC EGD DIAG W COLL SPECIMEN(S) BRUSH/WASH W PERF+1 more line at this price File of Apr 1, 2026 · source file $2,299.99 $2,299.99 — —
South County Health Wakefield, RI · (401) 782-8000 Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) File of Jul 24, 2026 · source file $3,101.40 $5,169.00 $724.00 40%
Newport Hospital Newport, RI · (401) 846-6400 HC EGD DIAG W COLL SPECIMEN(S) BRUSH/WASH W PERF File of Apr 1, 2026 · source file $3,153.00 $3,153.00 — —
The Miriam Hospital Providence, RI · (401) 793-2500 HC EGD DIAG W COLL SPECIMEN(S) BRUSH/WASH W PERF File of Apr 1, 2026 · source file $3,153.00 $3,153.00 — —
Rhode Island Hospital Providence, RI · (401) 444-4000 HC EGD DIAG W COLL SPECIMEN(S) BRUSH/WASH W PERF File of Apr 1, 2026 · source file $3,153.00 $3,153.00 — —
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 $335.65, median $1,859.90, highest $3,153.00 — a 9.4× difference within the same market.

As an inpatient, the same code is billed by 5 facilities here, median $3,153.00. 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 5 of 6 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 it is 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.