Surgery and procedures CPT 43235 Outpatient

Upper endoscopy cost in Utica, NY

In Utica-Rome, NY, 3 hospitals list a cash price for upper endoscopy (EGD), diagnostic: from $169.29 to $3,665.60, with a median of $2,251.24. The lowest listed price is at Little Falls Hospital — $2,081.95 less than the median here. Across New York, the median is $1,109.47 at 68 hospitals.

Cash prices at 3 facilities across 3 cities for code 43235, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Aug 11, 2026 and Aug 11, 2026.

Lowest$169.29Little Falls Hospital
Median$2,251.24half pay less
Highest$3,665.60in this market
Difference21.7×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 Utica-Rome, NY.

median
Lowest $169.29Highest $3,665.60

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Little Falls Hospital lowest Little Falls, NY · (315) 823-5261 CAH PR Esophagogastroduodenoscopy Transoral Diagnostic $169.29 $627.00 $175.56–$627.00 73% —
source file
Rome Memorial Hospital Rome, NY · (315) 338-7000 Egd diagnostic brush wash $2,251.24 $5,576.52 $254.00–$1,117.16 60% Aug 11, 2026
source file
Rome Memorial Hospital Rome, NY · (315) 338-7000 Egd diagnostic brush wash $2,251.24 $5,576.52 $254.00–$1,117.16 60% Aug 11, 2026
source file
Mvhs Utica, NY Esophagogastroduodenoscopy Transoral Diagnostic $3,665.60 $6,109.33 $1.80–$5,993.00 40% —
source file

Outpatient: lowest $169.29, median $2,251.24, highest $3,665.60 — a 21.7× difference within the same market.

As an inpatient, the same code is billed by 1 facility here, median $13,830.79. 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 2 of 3 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 it is

An upper endoscopy (EGD) uses a thin, flexible camera passed through the mouth to look at the esophagus, stomach and first part of the small intestine. It is used to look into heartburn, trouble swallowing, bleeding or stomach pain. This diagnostic version takes no biopsy.

What the price covers

The facility price covers the procedure room and recovery. The gastroenterologist's fee and anesthesia or sedation are often billed separately.

1 row held back from this comparison

It is priced below $1 or below a tenth of the national median for code 43235 ($1,332.20). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

Mvhs Utica, NYEsophagogastroduodenoscopy Transoral Diagnostic $98.40 file