Surgery and procedures CPT 43239 Outpatient

Upper endoscopy with biopsy cost in Cincinnati, OH

In Cincinnati, OH-KY-IN, 11 hospitals list a cash price for upper endoscopy (EGD) with biopsy: from $2,109.75 to $8,510.28, with a median of $5,179.08. The lowest listed price is at The Good Samaritan Hospital of Cincinnati, OH and 1 other hospital — $3,069.33 less than the median here. Across Ohio, the median is $2,803.45 at 91 hospitals.

  • The median here, $5,179.08, is 212% above the US median of $1,660.00.
  • That is 5.6× Medicare's 2026 national rate for the same service ($926.63).
  • Cincinnati, OH ranks 3rd of 3 metro areas in Ohio by median, cheapest first.
  • 1 of 11 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 11 facilities across 6 cities for code 43239, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Jul 1, 2026.

Lowest$2,109.75The Good Samaritan Hospital of Cincinnati, OH + 1 more
Median$5,179.08half of hospitals charge less
Highest$8,510.28in this market
Difference4.0×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 Cincinnati, OH-KY-IN.

median
Lowest $2,109.75Highest $8,510.28

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
The Good Samaritan Hospital of Cincinnati, OH lowest Cincinnati, OH · (513) 862-2601 HC Egd Biopsy Single/Multiple File of Apr 1, 2026 · source file $2,109.75 $2,813.00 — 25%
Bethesda North lowest Cincinnati, OH · (513) 865-1111 HC Egd Biopsy Single/Multiple File of Apr 1, 2026 · source file $2,109.75 $2,813.00 — 25%
University of Cincinnati Medical Center Cincinnati, OH · (513) 584-1000 Hc Egd Biopsy Single/Muliple File of Jul 1, 2026 · source file $2,727.00 $4,545.00 — 40%
West Chester Hospital West Chester, OH · (513) 298-7701 Hc Egd Biopsy Single/Muliple File of Jul 1, 2026 · source file $2,727.00 $4,545.00 — 40%
St Elizabeth Edgewood Edgewood, KY · (859) 301-2000 HB EGD W BIOPSY File of Apr 1, 2026 · source file $3,764.69 $3,764.69 — —
Mercy Health Fairfield Hospital Fairfield, OH · (513) 870-7000 Egd Transoral Biopsy Single/Multiple File of Apr 1, 2026 · source file $5,179.08 $8,631.80 $899.22–$917.20 40%
Mercy Health Anderson Hospital Cincinnati, OH · (513) 624-4500 Egd Transoral Biopsy Single/Multiple File of Apr 1, 2026 · source file $5,391.66 $8,986.10 $883.88–$901.55 40%
The Jewish Hospital-Mercy Health Cincinnati, OH · (513) 686-3000 Egd Transoral Biopsy Single/Multiple File of Apr 1, 2026 · source file $6,129.00 $10,215.00 $883.88–$901.55 40%
Mercy Health Clermont Hospital Batavia, OH · (513) 732-8278 Egd Transoral Biopsy Single/Multiple File of Apr 1, 2026 · source file $6,312.18 $10,520.30 $883.88–$901.55 40%
Mercy Health Kings Mills Hospital Mason, OH · (513) 637-9999 Egd Transoral Biopsy Single/Multiple File of Apr 1, 2026 · source file $6,993.30 $11,655.50 $883.88–$901.55 40%
Mercy Health West Hospital Cincinnati, OH · (513) 215-5000 Egd Transoral Biopsy Single/Multiple File of Apr 1, 2026 · source file $8,510.28 $14,183.80 $899.22–$917.20 40%
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.
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 $2,109.75, median $5,179.08, highest $8,510.28 — a 4.0× difference within the same market.

As an inpatient, the same code is billed by 3 facilities here, median $2,727.00. 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 0 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 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 with biopsy is, what the price covers and why prices differ: Upper endoscopy with biopsy explained.