Upper endoscopy with wire-guided dilation cost in Nashville, TN
In Nashville-Davidson--Murfreesboro--Franklin, TN, 4 hospitals list a cash price for upper endoscopy (EGD) with widening of the esophagus over a guide wire: from $212.28 to $1,093.16, with a median of $744.22. The lowest listed price is at Vanderbilt Wilson County Hospital — $531.94 less than the median here. Across Tennessee, the median is $940.50 at 20 hospitals.
Cash prices at 4 facilities across 4 cities for code 43248, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Oct 1, 2025 and Oct 1, 2025.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Nashville-Davidson--Murfreesboro--Franklin, TN.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Vanderbilt Wilson County Hospital lowest Lebanon, TN · (615) 444-2250 EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS | $212.28 | $732.00 | $104.70–$732.00 | 71% | Oct 1, 2025 source file |
| Vanderbilt University Medical Center Nashville, TN · (615) 322-3454 EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS | $395.28 | $732.00 | $104.70–$732.00 | 46% | Oct 1, 2025 source file |
| Saint Thomas West Hospital Harding Pk Nashville, TN · (615) 222-2111 EGD W/ESOPH DILATION GUIDEWIRE | $1,093.16 | $3,643.85 | $1,185.00–$3,284.00 | 70% | — source file |
| Saint Thomas Rutherford Hospital Murfreesboro, TN · (615) 396-4100 EGD W/ESOPH DILATION GUIDEWIRE | $1,093.16 | $3,643.85 | $1,185.00–$3,638.00 | 70% | — source file |
| Vanderbilt Wilson County Hospital Lebanon, TN · (615) 444-2250 HC EGD W/DILAT ESOPH GD WIRE | $1,272.23 | $4,387.00 | $456.32–$4,214.00 | 71% | Oct 1, 2025 source file |
| Vanderbilt University Medical Center Nashville, TN · (615) 322-3454 HC EGD W/DILAT ESOPH GD WIRE | $2,368.98 | $4,387.00 | $878.44–$4,387.00 | 46% | Oct 1, 2025 source file |
Outpatient: lowest $212.28, median $744.22, highest $1,093.16 — a 5.1× difference within the same market.
As an inpatient, the same code is billed by 2 facilities here, median $303.78. 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 4 of 4 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 2 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
This code covers upper endoscopy in which a narrowed esophagus is stretched with dilators passed over a guide wire.
What the price covers
The facility price covers the endoscopy room, equipment and recovery. The doctor, sedation and any lab exam of tissue are usually billed separately.