Surgery and procedures CPT 43239 Outpatient

Upper endoscopy with biopsy cost in Washington, DC

In Washington-Arlington-Alexandria, DC-VA-MD-WV, 10 hospitals list a cash price for upper endoscopy (EGD) with biopsy: from $1,372.50 to $4,094.80, with a median of $1,484.00. The lowest listed price is at Stafford Hospital and 1 other hospital — $111.50 less than the median here. Across District of Columbia, the median is $1,772.11 at 2 hospitals.

  • The median here, $1,484.00, is 11% below the US median of $1,660.00.
  • That is 1.6× Medicare's 2026 national rate for the same service ($926.63).
  • Every hospital here lists a cash price below its full list price.

Cash prices at 10 facilities across 9 cities for code 43239, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 29, 2026; the hospital files themselves were last updated between Dec 30, 2024 and Jul 14, 2026.

Lowest$1,372.50Stafford Hospital + 1 more
Median$1,484.00half of hospitals charge less
Highest$4,094.80in this market
Difference3.0×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 Washington-Arlington-Alexandria, DC-VA-MD-WV.

median
Lowest $1,372.50Highest $4,094.80

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Stafford Hospital lowest Stafford, VA · (540) 741-9000 Egd biopsy single/multiple File of Dec 30, 2024 · source file $1,372.50 $2,745.00 $499.00–$5,866.00 50%
Mary Washington Hospital lowest Fredericksburg, VA · (540) 741-1100 Egd biopsy single/multiple File of Dec 30, 2024 · source file $1,372.50 $2,745.00 $499.00–$5,866.00 50%
Inova Alexandria Hospital Alexandria, VA · (703) 504-3167 HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE File of Apr 1, 2026 · source file $1,484.00 $2,968.00 $937.56–$3,645.00 50%
Inova Fairfax Hospital Falls Church, VA · (703) 698-1110 HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE File of Apr 1, 2026 · source file $1,484.00 $2,968.00 $937.56–$3,645.00 50%
Inova Loudoun Hospital Leesburg, VA · (703) 858-6600 HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE File of Apr 1, 2026 · source file $1,484.00 $2,968.00 $937.56–$3,645.00 50%
Inova Mount Vernon Hospital Alexandria, VA · (703) 664-7105 HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE File of Apr 1, 2026 · source file $1,484.00 $2,968.00 $937.56–$3,645.00 50%
Inova Fair Oaks Hospital Fairfax, VA · (703) 391-4170 HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE File of Apr 1, 2026 · source file $1,484.00 $2,968.00 $937.56–$3,645.00 50%
MedStar Georgetown Hospital Northwest Washington, DC · (202) 784-3000 EGD BIOPSY SINGLE MULTIPLE File of Apr 1, 2026 · source file $1,635.79 $2,516.60 $704.65–$2,264.94 35%
MedStar Washington Hospital Center Washington, DC · (202) 877-7000 EGD BIOPSY SINGLE MULTIPLE File of Apr 1, 2026 · source file $1,908.42 $2,936.03 $851.45–$2,495.63 35%
Fauquier Health Warrenton, VA · (540) 316-5000 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple File of Jul 14, 2026 · source file $4,094.80 $10,237.00 $4,540.00 60%
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.

Outpatient: lowest $1,372.50, median $1,484.00, highest $4,094.80 — a 3.0× difference within the same market.

As an inpatient, the same code is billed by 9 facilities here, median $1,484.00. 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 10 of 10 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 with biopsy is, what the price covers and why prices differ: Upper endoscopy with biopsy explained.