Surgery and procedures CPT 43239 Inpatient — admitted to hospital

Upper endoscopy with biopsy cost in Utica, NY — inpatient

In Utica-Rome, NY, 1 hospital lists a cash price for upper endoscopy (EGD) with biopsy as an inpatient: from $13,673.16 to $13,673.16, with a median of $13,673.16. Across New York, the median is $1,152.60 at 71 hospitals.

Cash prices at 1 facility for code 43239, as an inpatient (admitted to hospital) . Collected Sep 27, 2026; the hospital files themselves were last updated between Aug 11, 2026 and Aug 11, 2026.

Lowest$13,673.16Rome Memorial Hospital
Median$13,673.16half pay less
Highest$13,673.16in this market
Difference1.0×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 Utica-Rome, NY.

median
Lowest $13,673.16Highest $13,673.16

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Rome Memorial Hospital lowest Rome, NY · (315) 338-7000 Egd biopsy single/multiple $13,673.16 $33,869.60 $286.00–$1,117.16 60% Aug 11, 2026
source file
Rome Memorial Hospital lowest Rome, NY · (315) 338-7000 Egd biopsy single/multiple $13,673.16 $33,869.60 $286.00–$1,117.16 60% Aug 11, 2026
source file

Inpatient: lowest $13,673.16, median $13,673.16, highest $13,673.16.

As an outpatient, the same code is billed by 3 facilities here, median $2,580.07 — that is the price to compare if you are not being admitted.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is not below the highest rate a health plan has negotiated. 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

This upper endoscopy (EGD) looks at the esophagus, stomach and first part of the small intestine and takes one or more tissue samples (biopsies). Biopsies can check for things like H. pylori infection, celiac disease or abnormal cells.

What the price covers

The facility price covers the procedure room and recovery. The gastroenterologist, anesthesia and the pathologist's exam of the biopsy samples are usually billed separately.

2 rows held back from this comparison

They are priced below $1 or below a tenth of the national median for code 43239 ($1,449.00). 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, NYEgd Transoral Biopsy Single/Multiple $111.00 file
Mvhs Utica, NYEgd Transoral Biopsy Single/Multiple $111.00 file